Robot-integrated intraoperative ultrasound: Initial experience with hepatic malignancies

Guerra, Francesco; Bonapasta, Stefano Amore; Annecchiarico, Mario; Bongiolatti, Stefano; Coratti, Andrea

doi:10.3109/13645706.2015.1022558

Cited by 32 publications

(28 citation statements)

References 23 publications

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“…All surgeries were performed by the same surgical team (supervised by an experienced surgeon, A.C.) according to the technique previously described …”

Section: Methodsmentioning

confidence: 99%

“…Before June 2013, standard laparoscopic probes were employed (20 patients). Afterwards, a robot‐integrated intraoperative ultrasound guided all surgeries (31 patients) . Briefly, each intervention commences with standard laparoscopy.…”

Section: Methodsmentioning

confidence: 99%

“…As experience and availability of new technologies increased, over the last years, the number of laparoscopically performed liver resections (LLR) has grown dramatically worldwide, and particularly in Eastern Asia, Europe, and Northern America . This has been facilitated, at least in part, by the substantive spread of robotic surgery . Robotic systems have been introduced in the clinical practice to improve the handling of high‐demanding procedures, such as those of abdominal oncological surgery .…”

Section: Introductionmentioning

confidence: 99%

“…This has been facilitated, at least in part, by the substantive spread of robotic surgery . Robotic systems have been introduced in the clinical practice to improve the handling of high‐demanding procedures, such as those of abdominal oncological surgery . Indeed, some of the well‐known advantages offered by the robotic platforms, such as increased surgical dexterity, magnified and three‐dimensional intraoperative view have proved to be a valuable help in facilitating and broadening the application of minimally invasive method for liver surgery .…”

Section: Introductionmentioning

confidence: 99%

“…Robotic systems have been introduced in the clinical practice to improve the handling of high‐demanding procedures, such as those of abdominal oncological surgery . Indeed, some of the well‐known advantages offered by the robotic platforms, such as increased surgical dexterity, magnified and three‐dimensional intraoperative view have proved to be a valuable help in facilitating and broadening the application of minimally invasive method for liver surgery . The last decade has seen robotic liver surgery gaining increasing acceptance worldwide, and a number of reports have been published in support of its safety and effectiveness .…”

Section: Introductionmentioning

confidence: 99%

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Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

Pesi

Moraldi

Guerra

et al. 2019

Robotics Computer Surgery

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Aim Robotic surgery is thought to have a role in widening the application of minimally invasive liver surgery. Nonetheless, data concerning surgical results for liver malignancies are presently still lacking. We aimed to evaluate the surgical and oncological outcomes of ultrasound guided robotic liver resections for hepatic malignancies. Methods All consecutive patients who received robotic resection of primary and secondary liver malignancies from September 2008 to January 2017 were analyzed. The same surgical team performed all procedures following the principle of parenchymal‐sparing surgery. Results From a total of 51 patients, 13 patients (25%) underwent major and 38 (75%) minor hepatectomy. No mortality occurred. Two procedures were converted to open surgery. Five patients experienced major complications, with a reintervention rate of 6%. Median hospital stay was 5 days. Conclusions Robotic surgery is a safe and feasible procedure for liver resection even when dealing with malignancies. Our data show that robotic surgery can be considered a valid option to treat patients with liver malignancies in a minimally invasive manner, without compromise the oncological results.

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“…All surgeries were performed by the same surgical team (supervised by an experienced surgeon, A.C.) according to the technique previously described …”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

Pesi

Moraldi

Guerra

et al. 2019

Robotics Computer Surgery

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The impact of robotics in liver surgery: A worldwide systematic review and short‐term outcomes meta‐analysis on 2,728 cases

Ciria

Berardi

Alconchel

et al. 2020

J Hepato Biliary Pancreat

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Background:The dissemination of robotic liver surgery is slow-paced and must face the obstacle of demonstrating advantages over open and laparoscopic (LLS) approaches. Our objective was to show the current position of robotic liver surgery (RLS) worldwide and to identify if improved short-term outcomes are observed, including secondary meta-analyses for type of resection, etiology, and cost analysis.Methods: A PRISMA-based systematic review was performed to identify manuscripts comparing RLS vs open or LLS approaches. Quality analysis was performed using the Newcatle-Ottawa score. Statistical analysis was performed after heterogeneity test and fixed-or random-effect models were chosen accordingly. Results: After removing duplications, 2728 RLS cases were identified from the final set of 150 manuscripts. More than 75% of the cases have been performed on malignancies. Meta-analysis from the 38 comparative reports showed that RLS may offer improved short-term outcomes compared to open procedures in most of the variables screened. Compared to LLS, some advantages may be observed in favour of RLS for major resections in terms of operative time, hospital stay and rate of complications.Cost analyses showed an increased cost per procedure of around US$5000. Conclusions: The advantages of RLS still need to be demonstrated although early results are promising. Advantages vs open approach are demonstrated. Compared to laparoscopic surgery, minor perioperative advantages may be observed for major resections although cost analyses are still unfavorable to the robotic approach.

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Liver ultrasound: A key procedure in the surgeon's toolbox

Hagopian

2020

Journal of Surgical Oncology

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Intraoperative liver ultrasound (US) is an imperative adjunctive procedure during any liver surgical procedure. Intraoperative US can be used to confirm preoperative findings, to identify new findings, and to guide the conduct of the procedure. A major barrier to incorporation of US into the surgeon's toolbox is training and education.A standardized training program for surgical fellows has been developed based on the mastery learning framework. K E Y W O R D S intraoperative ultrasound, liver ultrasound, surgical ultrasound education, surgical ultrasound training

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Robot-integrated intraoperative ultrasound: Initial experience with hepatic malignancies

Cited by 32 publications

References 23 publications

Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

Surgical and oncological outcomes after ultrasound‐guided robotic liver resections for malignant tumor. Analysis of a prospective database

The impact of robotics in liver surgery: A worldwide systematic review and short‐term outcomes meta‐analysis on 2,728 cases

Liver ultrasound: A key procedure in the surgeon's toolbox

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