Related Experiment Video
Updated: May 13, 2026
11:03
Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
5.5K
Fully Robotic Left Lobe Donor Hepatectomy Is Safer Compared to Open
Dieter C Broering1, Yasser Elsheikh1, Yasir Alnemary1
1Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Annals of Surgery
|March 26, 2025
Summary
Robotic left lobe hepatectomy offers improved donor safety and outcomes compared to open surgery. This less invasive approach is recommended for living donor liver transplantation.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Transplantation Surgery
Background:
- Right lobe hepatectomies are standard for adult liver transplants but pose higher donor risks.
- Left lobe hepatectomies are safer for donors but less common due to concerns about graft size.
- Donor safety is a critical consideration in living donor liver transplantation.
Purpose of the Study:
- To compare donor safety and outcomes between robotic and open left lobe hepatectomies.
- To evaluate the efficacy of robotic surgery in living donor liver transplantation.
- To determine if robotic left hepatectomy is a viable, donor-centered alternative.
Main Methods:
- Analysis of 339 living liver donors (72 open, 267 robotic left lobe hepatectomies).
- Prospective registry data from November 2011 to June 2023.
- Primary outcomes: donor complications; Secondary outcomes: hospital stay, recipient complications.
Main Results:
- Robotic hepatectomy showed significantly less blood loss (77 vs 316 mL).
- Lower donor morbidity (6% vs 18%) and shorter hospital stay (3 vs 5 days) with robotic approach.
- Robotically retrieved grafts were linked to lower recipient morbidity (40% vs 59%).
Conclusions:
- Robotic left donor hepatectomy enhances donor safety over the open approach.
- The robotic technique offers a less invasive, donor-centered option for liver transplantation.
- This study supports robotic left hepatectomy as a potential new standard in living donor liver transplantation.
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