Total Robotic Liver Transplant Using Whole Graft with Variant Donor Arterial and Biliary Anatomy

Robotic liver transplantation (RLT) is a novel and rapidly evolving approach in transplantation, representing perhaps the final frontier in robotic surgery. The technique offers the potential benefits of minimally invasive surgery for what is traditionally a maximally invasive, complex, and technically demanding operation. This report presents a successful case of a robotic recipient hepatectomy and implantation. The procedure was technically complex due to a large caudate lobe and variant biliary anatomy. The hepatectomy and implantation were performed entirely robotically, including vascular and biliary anastomoses. The recipient recovered uneventfully post-operatively. This case highlights the feasibility of fully robotic deceased donor liver transplantation, demonstrating the safe and effective use of robotic techniques in complex dissection and vascular anastomosis creation.