Hepatectomy in Robotic Surgery

Abstract

Scientists developed the robotic surgery system to offer a solution to the increased challenges of conventional laparoscopic surgery. Robotic surgery is a minimally invasive surgical procedure, but scientists have not yet validated it. Over recent years, the use of the laparoscopic technique for liver surgery has reduced like other abdominal techniques due to the limitations of laparoscopic instruments. Robotic procedures can help surgeons to overcome these challenges, particularly during complex operations. Researchers conducted a review of major hepatic surgery on PubMed using designated keywords. They analyzed 237 patients in 17 series and recorded outcomes, for example, length of hospital stays, estimated loss of blood, duration of operation, costs, conversation rate, and related difficulties. The study indicated wedge resection and segmentectomy which were mainly performed procedures. However, the predominance of significant hepatectomies through robotic surgery has high chances because of the superior activities obtained by the robotic system. The complication and conversation rates were 13.4% and 4.2%, respectively. Bile leaks and intracavitary fluid collections were the frequent occurring morbidities. The mean time for conducting the operation was 285 min, while the mean blood loss during the process was 50–280 ml. The mean post-operative duration the patient remained at the hospital was 7 days. The study did not record long-term and survival outcomes. A study conducted in Italy indicated that robotic liver surgery had gained increasing acceptance due to its significant advantage to both patients and operators. Operators have done over 100 robotic hepatic surgeries in Italy, where most robotic training facilities are active. Robotic surgery is safe and feasible in experienced hands. More research is necessary to evaluate the improvement in long-term oncological follow-up and outcomes.