Robotic caudate lobe liver resection following robotic left hepatectomy for cholangiocarcinoma

Abstract

Sucandy and colleagues described their experience with robotic caudate lobe liver resection as a repeat operation after robotic left hepatectomy for intrahepatic cholangiocarcinoma. The robotic platform, which provides superior 3D visualization and increased dexterity, greatly facilitates isolation and division of the short hepatic veins of the inferior vena cava.

Robotic Total Anatomical Left Hepatectomy and Caudate Lobe Resection With Microwave Tumor Ablation. Minimally Invasive Treatment of Bilobar Colorectal Liver Metastasis

“…Complete liver resection ± ablation for metastatic colon and rectal cancer is the standard of care since it had been known to increase the 5-year overall survival from approximately 5%-75%. 3,4 This video showed a safe and reproducible minimally invasive parenchymal preserving liver surgery for bilobar colorectal liver metastases. This technique can be applied to other types of hepatobiliary tumors as oncologically appropriate.…”

“…Bilateral hepatic metastasis once considered an unresectable disease is now uniformly treated with hepatic resection with a goal of complete tumor clearance. 1-3…”

“…Bilateral hepatic metastasis once considered an unresectable disease is now uniformly treated with hepatic resection with a goal of complete tumor clearance. [1][2][3] At the beginning of the liver surgery era marked by Couinaud description of intrahepatic segmental anatomy, extensive resection of liver parenchyma to remove multifocal tumors was commonly practiced by liver surgeons. 3 While regenerative capacity of the remaining liver parenchyma is robust and reliable in most patients, the incidence of fatal posthepatectomy liver failure is not insignificant after extensive liver resection.…”

“…[1][2][3] At the beginning of the liver surgery era marked by Couinaud description of intrahepatic segmental anatomy, extensive resection of liver parenchyma to remove multifocal tumors was commonly practiced by liver surgeons. 3 While regenerative capacity of the remaining liver parenchyma is robust and reliable in most patients, the incidence of fatal posthepatectomy liver failure is not insignificant after extensive liver resection. Recognition of this potential major complication prompted another revolutionary change in operative technique during liver surgery.…”

Robotic Partial Left Hepatectomy for Metastatic Colon Cancer to the Liver. Application of Minimally Invasive Technique in Cancer Surgery

“…The advent of robotic technology allows for further refinement of minimally invasive techniques in liver surgery with 3-dimensionalvisualization, stable platform, high manual dexterity, tremor filtration, ease of suturing, and better ability to reach posterior-superior lesions, compared to the conventional laparoscopy. 3,4 Being the newest technology, a detailed technical description of robotic anatomical hepatectomy using a multimedia video support is very limited. In this video article, we described our technique of robotic partial left hepatectomy removing segments 2 and 3 for treatment of colorectal cancer liver metastasis.…”