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Robotic Hepatectomy for Primary Liver Cancer
Christine E Haugen1, Nathaly Llore2, Jason S Hawksworth3
1Department of Surgery, University of Cincinnati, Cincinnati, OH, USA.
Annals of Surgical Oncology
|December 15, 2025
Summary
Robotic hepatectomy offers improved outcomes for liver cancer surgery, combining open surgery
Area of Science:
- Hepatobiliary surgery
- Surgical oncology
- Minimally invasive surgery
Background:
- Primary liver cancer incidence and mortality are rising.
- Minimally invasive hepatectomy offers benefits over open surgery but is underutilized.
- Robotic hepatectomy enhances minimally invasive capabilities.
Purpose of the Study:
- To evaluate robotic hepatectomy for hepatocellular carcinoma.
- To compare robotic versus laparoscopic hepatectomy outcomes.
- To assess robotic hepatectomy's role in complex liver cancer cases.
Main Methods:
- Comparative analysis of robotic versus laparoscopic hepatectomy.
- Review of oncologic outcomes, including survival and complications.
- Assessment of patient selection for robotic liver resection.
Main Results:
- Robotic hepatectomy shows similar or better disease-free and overall survival than laparoscopic hepatectomy.
- It allows complex cases and high-risk patients (cirrhosis, older age) to undergo resection.
- Operative times may be longer, but length of stay and complication rates are comparable to laparoscopy.
Conclusions:
- Robotic hepatectomy merges the advantages of open and minimally invasive approaches for liver cancer.
- It expands surgical options for high-risk patients.
- Addressing the learning curve through team-based approaches and future research is crucial.
