Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Melstrom, Laleh G.; Warner, Susanne G.; Woo, Yanghee; Sun, Virginia; Lee, Byrne; Singh, Gagandeep; Fong, Yuman

doi:10.21037/hbsn.2017.05.05

Cited by 40 publications

(29 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the critics related to robotic surgery is due to its operational costs; however, some studies show that, even with an operative cost greater than the open surgery (up to 20% greater), the total final cost of robotic surgery is lower, since the length of stay is lower (can be as less as a 2‐day hospitalization), less intraoperative blood loss and, therefore, less need for blood transfusion (two‐third less compared to open surgery) and the patient requires less analgesia during the postoperative time …”

Section: Discussionmentioning

confidence: 99%

Robotic approach as a valid strategy to improve the access to posterosuperior hepatic segments—Case series and review of literature

Araújo

Sanctis

Barroti

et al. 2020

Journal of Surgical Oncology

View full text Add to dashboard Cite

Introduction Although the laparoscopy liver resection (LLR) has become a useful approach for minor resections, it seems that lesions in posterosuperior (PS) segments still represent technical challenges. We report a series of robotic approach as an alternative option for these lesions, and a systematic review of the literature to show its feasibility. Methods Consecutive patients who underwent liver resection for solitary lesions in PS segments by da Vinci SI robot, and by the same team. A systematic review of the literature was made to evaluate the feasibility of a robotic approach for PS hepatectomies. Results From April 2016 to April 2017, five cases of robotic nonanatomical PS resections of colorectal liver metastases (CRLM) were performed. A systematic review encountered five articles plus this series reporting outcomes for this approach. Briefly, a total of five patients in our series underwent this approach, all females, and one patient presented a grade 2 complication. Conclusion Robotic hepatectomy seems to be a useful and valid strategy to resect lesions on PS hepatic segments simplifying liver‐sparing hepatectomies. Even though the operative time is still high, the short length of stay, low number of complications and the low need for blood transfusions seems to surpass the intrinsic cost of robotic surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Robotic approach as a valid strategy to improve the access to posterosuperior hepatic segments—Case series and review of literature

Araújo

Sanctis

Barroti

et al. 2020

Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

“…75 In fact, these "incision-dominant" tumors that would otherwise require a laparotomy to perform due to the technical difficulty resecting them laparoscopically may be where the robot is the most useful. 76 When performed by experienced surgeons, robotic liver resection has similar postoperative outcomes to laparoscopic liver resection, yet with lower rates of conversion to open resection and the potential to complete more complex resections. 77 Margin status appears to be comparable to historic data in laparoscopic liver resection.…”

Section: Operative Approachmentioning

confidence: 99%

The Contemporary Role of Resection and Ablation in Colorectal Cancer Liver Metastases

Eskander

Aquina

Ejaz

et al. 2020

Digestive Disease Interventions

View full text Add to dashboard Cite

Advances in the field of surgical oncology have turned metastatic colorectal cancer of the liver from a lethal disease to a chronic disease and have ushered in a new era of multimodal therapy for this challenging illness. A better understanding of tumor behavior and more effective systemic therapy have led to the increased use of neoadjuvant therapy. Surgical resection remains the gold standard for treatment but without the size, distribution, and margin restrictions of the past. Lesions are considered resectable if they can safely be removed with tumor-free margins and a sufficient liver remnant. Minimally invasive liver resections are a safe alternative to open surgery and may offer some advantages. Techniques such as portal vein embolization, association of liver partition with portal vein ligation for staged hepatectomy, and radioembolization can be used to grow the liver remnant and allow for resection. If resection is not possible, nonresectional ablation therapy, including radiofrequency and microwave ablation, can be performed alone or in conjunction with resection. This article presents the most up-to-date literature on resection and ablation, with a discussion of current controversies and future directions.

show abstract

“…The study by Melstrom et al 29 compared with $6,762 for similar laparoscopic liver resections. 25 As F I G U R E 1 "Incision-dominant" liver segments.…”

Section: Robot-assisted Liver Resectionmentioning

confidence: 99%

“…While several competitors are in various stages of development and accreditation, the da Vinci Surgical System produced by Intuitive Surgical, Inc. is to date the only widespread robotic operating system in the United States approved by the Food and Drug Administration . The da Vinci robot provides for surgeon‐directed instrument articulation, potentially allowing the user to negotiate the contours of the liver and more readily access the nonperiphery tumors which had been delineated as particularly problematic in the 2008 Louisville Statement (Figure ).…”

Section: Robot‐assisted Liver Resectionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of metastatic colorectal cancer: innovations in surgical techniques

Andrade

Warner

Fong

2019

Journal of Surgical Oncology

Self Cite

View full text Add to dashboard Cite

Liver metastases and peritoneal carcinomatosis are a particular focus of surgeons in improving survival in stage IV colorectal cancer patients, with laparotomy long being the means to undertake these operations. The Louisville statement published in 2008 was the first international consensus on indications for minimally invasive liver resection. Herein we review the progress in innovative surgical techniques, including minimally invasive liver resection, robot‐assisted hepatectomy, and we also describe initial reports in pressurized intraperitoneal aerosol chemotherapy.

show abstract

Selecting incision-dominant cases for robotic liver resection: towards outpatient hepatectomy with rapid recovery

Cited by 40 publications

References 32 publications

Robotic approach as a valid strategy to improve the access to posterosuperior hepatic segments—Case series and review of literature

Robotic approach as a valid strategy to improve the access to posterosuperior hepatic segments—Case series and review of literature

The Contemporary Role of Resection and Ablation in Colorectal Cancer Liver Metastases

Treatment of metastatic colorectal cancer: innovations in surgical techniques

Contact Info

Product

Resources

About