Multivisceral Resection in Robotic Liver Surgery

Abstract

Minimally invasive surgery techniques are expanding in utilization in liver resections and now include robotic approaches. Robotic liver resection has been demonstrated to have several benefits, including surgeon ergonomics, wrist articulation, and 3D visualization. Similarly, for multivisceral liver resections, the use of minimally invasive techniques has evolved and expanded from laparoscopy to robotics. The aim of this article is to review the literature and describe multivisceral resections, including hepatectomy, using a robotic technique. We describe over 50 published cases of simultaneous robotic liver resection with colon or rectal resection. In addition, we describe several pancreatectomies performed with liver resection and one extra-abdominal pulmonary resection with liver resection. In total, these select reported cases at experienced centers demonstrate the safety of robotic multivisceral resection in liver surgery with acceptable morbidity and rare conversion to open surgery. As robotic technology advances and experience with robotic techniques grows, robotic multivisceral resection in liver surgery should continue to be investigated in future studies.

The timing of surgical interventions following the implantation of coronary drug-eluting stents in patients undergoing gastrointestinal cancer surgery: A multicenter retrospective cohort study

“…In surgical procedures for GCS, lymph node dissection, vascular ligation, and reconstruction of the digestive tract are essential components [5] . Due to variations in tumor staging, combined organ resection may be necessary, rendering digestive tract tumor cancer surgery associated with a higher risk of bleeding compared to other NCS [6][7][8] . Additionally, prematurely undergoing surgery for digestive tract cancer after coronary stent placement may lead to increased occurrence of major adverse cardiovascular events (MACEs) postoperatively [9] .…”