Robotic liver surgery: technical aspects and review of the literature

Giulianotti, Pier Cristoforo; Bianco, Francesco M.; Daskalaki, Despoina; Gonzalez-Ciccarelli, Luis F.; Kim, Jihun; Benedetti, Enrico

doi:10.21037/hbsn.2015.10.05

Cited by 98 publications

(80 citation statements)

References 45 publications

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“…The mortality rate reported in the review was zero, and the morbidity rate ranged from 0 to 43% [27,28], and as shown by Spampinato et al [27], it was similar to laparoscopy, also in case of major hepatectomy (16 vs. 36%).…”

Section: Discussionsupporting

confidence: 55%

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Marino¹,

Shabat²,

Guarrasi³

et al. 2018

Dig Surg

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Background: Despite potential benefits of robotic liver surgery, it is still considered a “development in progress” technique. Methods: The outcomes of 14 patients undergoing robotic right hepatectomy were analyzed and compared with the results of 20 laparoscopic right hepatectomies consecutively performed by the same young surgeon. Results: The overall mean operative time was less in robotic arm (425 ± 139 vs. 565.18 ± 183.73, p = 0.022) and the estimated blood loss was similar (335.15 ± 139.8 vs. 423.95 ± 205.15, p = 0.17); no blood transfusion was required. Two patients in robotic group and 5 in laparoscopic group (p = 0.454) underwent conversion to open surgery; the overall morbidity was 21.4 and 15% in studied arms, respectively (p = 0.634). Pathology reports showed a mean surgical margin of 26.02 ± 3.9 in robotic arm, 28.76 ± 4.6 for laparoscopic, (p = 0.079) and we achieved a R0 resection rate of 91.66 and 85%, respectively. Reoperation and 90-days mortality rate were both null in robotic arm. One patient in laparoscopic group was reoperated due to postoperative hemorrhage. One-year overall and disease free-survival rate were 92.3 and 84.6%, respectively in robotic arm and 90 and 85% in laparoscopic arm. Conclusions: Robotic right hepatectomy is a safe and feasible technique providing promising short-term outcomes and oncological results also in the initial phase of learning curve.

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Section: Discussionsupporting

confidence: 55%

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Marino¹,

Shabat²,

Guarrasi³

et al. 2018

Dig Surg

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show abstract

“…As reported by the authors of this paper, following the first laparoscopy assisted donor right hepatectomy in 2006, only 22 pure MIS approach for right sided donor hepatectomy were reported during the following 5 years (1). The report of these pioneer surgeries confirmed the feasibility of highly selected cases in the hands of experienced MIS surgeons (4). Today the number of centers performing almost routinely right and full left MIS liver donor hepatectomy is steadily growing especially in Asian countries.…”

mentioning

confidence: 66%

Use of robotics in liver donor right hepatectomy

Panaro¹,

Testa²

2018

Hepatobiliary Surg. Nutr.

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“…Nevertheless, both techniques were found to be equally efficient in terms of oncologic outcomes, the length of stay, and complication rates [44]. In the same fashion, another review of the literature the same year concluded that robotic hepatic surgery is as effective as laparoscopic and open surgery [45]. A review of the literature specifically dealing with the topic of hepatocellular carcinoma reported a similar statement [46].…”

Section: Hepatobiliary and Pancreatic Surgery: Nothing Is Impossiblementioning

confidence: 94%

The Surgical Robot: Applications and Advantages in General Surgery

Barrera¹

2018

Surgical Robotics

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The field of General Surgery with its multiple sub-specialties has experienced the progression of minimally invasive procedures performed with the robotic technology since the last decade. The robotic applications are extensive and have contributed to the enrichment of the surgical sub-specialties based on advantages such as increased surgeon control and autonomy, superior instrument dexterity and tissue handling, improved three-dimensional visualization, wristed articulation, all of this despite the lack of haptic feedback. The sub-specialties of Colorectal, Hepatobiliary and Pancreatic, Gastric Oncologic, Bariatric, Foregut, Pediatric, Endocrine, and Hernia Surgery, in addition to General Surgery as the principal specialty, have produced several high-quality randomized controlled trials, meta-analyses, prospective and retrospective series which have established, in many instances, superior results to those of laparoscopy, and at least non-inferior outcomes over the years. From the first pioneer single-surgeon experiences around the world to the most recent large trials, including the first Robotic General Surgery case series in an American community hospital not classified as a tertiary referral center, patients continue to benefit from this technology as surgeons engage in overcoming their learning curve and training their teams, involving their hospital administrators and working with the industry to perfect their techniques for the sake of their patients.

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Robotic liver surgery: technical aspects and review of the literature

Abstract: This article provides technical details of robotic liver resections and a review of the current literature.

Cited by 98 publications

References 45 publications

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Comparative Study of the Initial Experience in Performing Robotic and Laparoscopic Right Hepatectomy with Technical Description of the Robotic Technique

Use of robotics in liver donor right hepatectomy

The Surgical Robot: Applications and Advantages in General Surgery

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