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Updated: Jul 6, 2026
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Robotic Left Hepatectomy using Indocyanine Green Fluorescence Imaging for an Intrahepatic Complex Biliary Cyst
Published on: June 24, 2022
Robotic versus laparoscopic surgery in hepatobiliary procedures: a scoping review
Jerónimo Cárdenas Montoya1, Mariana González Garcés1, Mario Andrés Torres Torres1
1Primary Care Physician, School of Medicine, Universidad de La Sabana, Chía, Colombia.
BMC Surgery
|July 4, 2026
Summary
Robotic surgery shows benefits in complex hepatobiliary procedures, but evidence is mixed. Laparoscopic and robotic approaches offer comparable safety and effectiveness for most surgeries, suggesting context-specific adoption.
Area of Science:
- Minimally Invasive Surgery
- Surgical Technology
- Hepatobiliary Surgery
Background:
- Robotic platforms enhance minimally invasive hepatobiliary surgery capabilities.
- Clinical value of robotic vs. laparoscopic surgery is variable.
- Factors influencing value include procedure complexity, anatomy, and experience.
Purpose of the Study:
- To compare robotic versus laparoscopic hepatobiliary surgery.
- To evaluate clinical value based on procedural complexity.
- To synthesize evidence on safety, effectiveness, and recovery.
Main Methods:
- Procedure-stratified scoping review.
- Searched PubMed, Scopus, Web of Science (2019-2025).
- Synthesized evidence using a procedure-specific framework.
Main Results:
- Robotic surgery associated with less blood loss and conversion in complex cases.
- Operative time generally longer for robotic procedures.
- Comparable perioperative morbidity, mortality, and oncological outcomes.
- Higher costs for robotic surgery; recovery data inconsistent.
Conclusions:
- Robotic surgery offers context-dependent advantages in complex hepatobiliary procedures.
- Evidence is largely retrospective and heterogeneous; interpret cautiously.
- Comparable safety and effectiveness support procedure-based integration, not universal adoption.
