Robotics in hepatobiliary surgery-initial experience, first reported case series from India

Goja, Sanjay; Singh, Manoj Kumar; Soin, Arvinder S.

doi:10.1016/j.ijscr.2017.02.022

Cited by 12 publications

(6 citation statements)

References 17 publications

(33 reference statements)

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“…In case of overlapping populations, the most recent or most informative studies were included in the systematic review (Supplemental Table S2). From the 803 records retrieved, 31 studies were finally deemed eligible, incorporating a total of 1148 patients. The majority of studies were from Europe (14/31), followed by Asia (10/31) and the USA (7/31).…”

Section: Resultsmentioning

confidence: 99%

Safety and oncologic outcomes of robotic liver resections: A systematic review

Tsilimigras

Moris

Vagios

et al. 2018

Journal of Surgical Oncology

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The robotic system has emerged as a new minimally invasive technology with promising results. We sought to systematically review the available literature on the safety and the oncologic outcomes of robotic liver surgery. A systematic review was conducted using Medline (PubMed), Embase and Cochrane library through November 12th, 2017. A robotic approach may be a safe and feasible surgical option for minor and major liver resections.

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Section: Resultsmentioning

confidence: 99%

Safety and oncologic outcomes of robotic liver resections: A systematic review

Tsilimigras

Moris

Vagios

et al. 2018

Journal of Surgical Oncology

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“…Finally, 29 articles were included and are presented in Table . The four conversions on 70 patients reported as “Giulianotti et al” were part of our series and detailed as “present series” at the end of the table.…”

Section: Resultsmentioning

confidence: 99%

Reasons for open conversion in robotic liver surgery: A systematic review with pooled analysis of more than 1000 patients

Gheza

Esposito

Gruessner

et al. 2018

Robotics Computer Surgery

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Background:Conversion to open during minimally invasive liver resection has a high rate. To identify the reasons to convert could help in defining a strategy to decrease the event "conversion." Methods:A systematic review has been performed. Our large series of robotic hepatic resections were analyzed and included in the review.Results: Fifty papers were selected and carefully evaluated in full text. Twenty-nine were ultimately used for analysis, including all published robotic liver resections. Our series included 11 conversions out of 139 patients (7.9%). Adhesions were not a declared reason to convert. The robotic approach still had a high percentage of open conversions because of difficulties in assessing the tumor margin. Conclusions:Causes for conversion were carefully analyzed and compared with what previously described for the pure laparoscopic approach. This could be crucial in defining how to improve the performance and minimize the conversion rate.

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“…However, this finding is biased by the fact that the learning curve of robot-assisted laparoscopic liver resection had not been completed, as most series included here represent initial experience. As was shown by Tsung et al, operating time, blood loss and length of stay significantly decrease as experience grows [53].…”

Section: Discussionmentioning

confidence: 83%

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2018

ARGH

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A Cochrane review failed to show any significant differences with regards to mortality, morbidity, markers of liver parenchymal injury, or ICU/hospital length of stay when comparing the crushclamp to alternative methods [13]. The review did show crushclamp to be faster and more cost effective [10,13].Unfortunately, the above-mentioned technique has a limited role in Robotic surgery and has been superseded by more superior energy devices.

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Robotics in hepatobiliary surgery-initial experience, first reported case series from India

Abstract: HighlightsUtility of robotic system for heterogenous mix of hepatobiliary cases.Ability of robotic system to perform complex hepatobiliary cases.Advantages of minimal access surgery but at a higher cost.

Cited by 12 publications

References 17 publications

Safety and oncologic outcomes of robotic liver resections: A systematic review

Safety and oncologic outcomes of robotic liver resections: A systematic review

Reasons for open conversion in robotic liver surgery: A systematic review with pooled analysis of more than 1000 patients

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