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Robotic Left Trisectionectomy with Glissonian Approach (with Video).
Marcel A Machado1, Bruno H Mattos2, Fabio F Makdissi2
1Nove de Julho Hospital, Rua Dona Adma Jafet 74 cj 102 - 01308-050, São Paulo, Brazil. dr@drmarcel.com.br.
Summary
Robotic left trisectionectomy, a complex liver surgery, is safe and feasible. This video demonstrates the Glissonian approach for minimally invasive removal of liver segments 2, 3, 4, 5, and 8.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgical techniques
- Robotic surgery
Background:
- Left hepatic trisectionectomy involves removing liver segments 2, 3, 4, 5, and 8.
- This procedure is indicated for extensive left liver and right anterior sector involvement.
- A case of robotic anatomic left trisectionectomy using a Glissonian approach is presented.
Discussion:
- Robotic left trisectionectomy offers a safe and feasible approach for complex liver resections.
- The Glissonian approach provides precise pedicle control for anatomic liver resections.
- This minimally invasive technique can be beneficial for selected patients with extensive liver tumors.
Key Insights:
- Robotic left trisectionectomy is a safe and feasible procedure.
- The Glissonian approach facilitates anatomic control of liver pedicles.
- Minimally invasive robotic surgery can be applied to complex liver resections.
Outlook:
- Further studies are warranted to evaluate long-term outcomes of robotic left trisectionectomy.
- The Glissonian approach may become a standard technique for specific liver resections.
- Advancements in robotic technology will likely expand the application of minimally invasive liver surgery.

