Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis

Lincango-Naranjo, Eddy; Garces-Delgado, Estefany; Siepmann, Timo; Mirow, Lutz; Solís-Pazmiño, Paola; Alexander-Leon, Harold; Restrepo-Rodas, Gabriela; Mancero-Montalvo, Rafael; Ponce, Cristina J.; Cadena-Semanate, Ramiro; Vargas-Cordova, Ronnal; Herrera-Cevallos, Glenda; Vallejo, Sebastián; Liu-Sanchez, Carolina; Prokop, Larry J.; Ziogas, Ioannis A.; Vailas, Michail; Guerron, Alfredo D.; Visser, Brendan C.; Ponce, Oscar J.; Barbas, Andrew S.; Moris, Demetrios

doi:10.3390/jcm11092603

Cited by 8 publications

(6 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…35 Since then, the majority of reports were for hepatectomy for donation, with some reports describing the hepatectomy for cancer as a bridge for transplantation. 42,43 Initial reports suggest that this is a safe and feasible operation when performed by teams familiar with robotic surgery 44,45 and expertise in liver surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Since then, the majority of reports were for hepatectomy for donation, with some reports describing the hepatectomy for cancer as a bridge for transplantation 42,43 . Initial reports suggest that this is a safe and feasible operation when performed by teams familiar with robotic surgery 44,45 and expertise in liver surgery. Beginning in 2022, a group from the Seoul National University reported the first application of robotic techniques in graft implantation in a living donor liver transplant.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Application of robotics in abdominal organ transplantation: A bibliometric analysis

Rawashdeh

El‐Hinnawi

AlRyalat

et al. 2023

Robotics Computer Surgery

View full text Add to dashboard Cite

BackgroundRobotic transplant surgery has garnered worldwide attention since 2002. Discussions on this issue have led to more publications over the past decade. This study assessed global robotic organ transplantation studies using bibliometric analysis.MethodThe study sample was robotic technique use in organ transplantation publications from 2002 to 2021 in the Web of Science database. We analysed top‐cited authors, countries, institutions, journals, and keywords. Citations were used to visualise and analyse target literature in VOSviewer.Results160 articles were included in the bibliometric study. Among the nations that are presently involved in the use of robotics in organ transplantation research, the United States of America leads robotic organ transplantation studies. The American Journal of Transplantation published the most articles overall.ConclusionBased on publication and citation numbers, robotic organ transplantation techniques are becoming more global attention. This robotic abdominal organ transplant surgery bibliometric analysis review covers research output and hotspots.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Application of robotics in abdominal organ transplantation: A bibliometric analysis

Rawashdeh

El‐Hinnawi

AlRyalat

et al. 2023

Robotics Computer Surgery

View full text Add to dashboard Cite

show abstract

“…Conversely, it was shown that there was no difference in the postoperative mean peak total bilirubin level. [60]. In the same systematic review, when comparing the postoperative pain of RLDH vs. OLDH (>day 3) they found no differences, but when comparing RLDH to LLDH, the pain score after day 3 was lower in RLDH.…”

Section: Post Operative Outcome In Ra Ldhmentioning

confidence: 93%

“…The operation time in those series of surgeries ranged between 290-596 min. Naranjo et al found that RLDH lasted on average 133.4 min longer than OLDH and 137.7 min longer than LLDH [60].…”

Section: Robotic Assisted (Ra) Donor Hepatectomymentioning

confidence: 99%

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

Avramidou,

Terlemes,

Lymperopoulou

et al. 2024

Livers

View full text Add to dashboard Cite

Since the end of the 20th century and the establishment of minimally invasive techniques, they have become the preferred operative method by many surgeons. These techniques were applied to liver surgery for the first time in 1991, while as far as transplantation is concerned their application was limited to the living donor procedure. We performed a review of the literature by searching in Pubmed and Scopus using the following keywords: Liver transplantation, Minimally invasive surgery(MIS) living liver donor surgery. Applications of MIS are recorded in surgeries involving the donor and the recipient. Regarding the recipient surgeries, the reports are limited to 25 patients, including combinations of laparoscopic, robotic and open techniques, while in the living donor surgery, the reports are much more numerous and with larger series of patients. Shorter hospitalization times and less blood loss are recorded, especially in centers with experience in a large number of cases. Regarding the living donor surgery, MIS follows the same principles as a conventional hepatectomy and is already the method of choice in many specialized centers. Regarding the recipient surgery, significant questions arise mainly concerning the safe handling of the liver graft.

show abstract

“…Furthermore, a study in Saudi Arabia [482,483] reported that the outcomes of 318 patients in the RLDH group were better than those of patients in the LLDH group, and robotic donor surgery was feasible in 501 RLDH. Nevertheless, in a recent meta-analysis [484], there was still insufficient evidence to conclude that robotic surgery is preferable compared to laparoscopic or open surgery, and more studies are expected.…”

Section: Minimally Invasive Living Donor Hepatectomymentioning

confidence: 99%

Asian Pacific Association for the Study of the Liver clinical practice guidelines on liver transplantation

Kim,

Yoon,

Kim

et al. 2024

Hepatol Int

View full text Add to dashboard Cite

Liver transplantation is a highly complex and challenging field of clinical practice. Although it was originally developed in western countries, it has been further advanced in Asian countries through the use of living donor liver transplantation. This method of transplantation is the only available option in many countries in the Asia-Pacific region due to the lack of deceased organ donation. As a result of this clinical situation, there is a growing need for guidelines that are specific to the Asia-Pacific region. These guidelines provide comprehensive recommendations for evidence-based management throughout the entire process of liver transplantation, covering both deceased and living donor liver transplantation. In addition, the development of these guidelines has been a collaborative effort between medical professionals from various countries in the region. This has allowed for the inclusion of diverse perspectives and experiences, leading to a more comprehensive and effective set of guidelines. Keywords Living donor liver transplantation • Deceased donor liver transplantation • Multidisciplinary • GradeSpecial consideration: LDLT in ACLF In a study of 112 LDLT recipients with ACLF, defined by the APASL definition, post-LT outcomes were excellent (92.9% at 5 years) [69]. In a study on high-model end-stage liver disease (MELD) (score ≥ 30) LDLT recipients with ACLF (n = 190), defined by the World Congress of Gastroenterology [70], the 5-year survival rate was 72.1% [71]. In a study of 117 LDLT recipients who had ACLF, as defined by the EASL-CLIF definition, post-transplant survival after LDLT was 92.9%, 85.4%, and 75.6% at 1 year, while mortality rate without LT was 28.5%, 77.7%, and 93.4% at 90 days, for ACLF grades 1, 2, and 3, respectively [72]. These data indicate that LDLT can be a life-saving treatment option for patients with ACLF.LDLT differs significantly from DDLT, as the timing of LDLT can be determined by the transplant team. There are advantages and disadvantages of LDLT in the setting of ACLF. The benefit of LDLT in patients with ACLF is its ability to provide rapid transplantation to critically ill patients [73], without waiting for deceased donor allocation. The ideal time for LT can be selected by transplant team when willing living donor is available. If ideal time for LT can be selected in the dynamic course of ACLF, this may improve post-LT outcome. The disadvantages of LDLT include the need for healthy, willing liver donor, and the use of partial grafts for critically ill patients. A graft-to-recipient weight ratio (GRWR) is a factor associated with post-LT outcomes in LDLT [74]. The donor risk index is a factor associated with post-LT outcomes for patients with ACLF who received DDLT [66,75]. This indicates that DDLT, which uses whole liver grafts, might be a better compared to LDLT, which uses partial grafts, in ACLF. In addition, there are uncertainties regarding the criteria for living donor graft quality that is required for critically ill patients with ACLF. In studies that reported...

show abstract

Robotic Living Donor Right Hepatectomy: A Systematic Review and Meta-Analysis

Cited by 8 publications

References 42 publications

Application of robotics in abdominal organ transplantation: A bibliometric analysis

Application of robotics in abdominal organ transplantation: A bibliometric analysis

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

Asian Pacific Association for the Study of the Liver clinical practice guidelines on liver transplantation

Contact Info

Product

Resources

About