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Major robotic hepatectomies: technical considerations
- Source :
- Updates in Surgery. 73:989-997
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Robotic approach to the liver may allow to perform difficult resections with a minimally invasive strategy in an easier way as compared to standard laparoscopy. The aim of this study is to review our experience with robotic major hepatectomies, reporting technical considerations, and describing the outcomes of patients that underwent either left (LRH) or right robotic hepatectomy (RRH). Our prospectively maintained database was screened to identify all patients that received a major liver resection for benign or malignant disease. Preoperative data and postoperative short-term and long-term outcomes were reported. 261 robotic procedures were performed in our Center between May 2014 and October 2020. 12 patients underwent robotic left hepatectomy (RLH) and 10 patients were treated by robotic right hepatectomy (RRH). In the RLH group, median operative time (OT) was 383 min, median estimated blood loss (EBL) was 300 ml, and median in-hospital stay was of 3 days. In the RRH group, median OT was 490 min, median EBL 725 ml, and median hospital stay was 5 days. Although one of the advantages of minimally invasive surgery is to obtain radical resections with parenchyma sparing strategies, patients that need a major hepatectomy may benefit of a robotic resection with good postoperative outcomes. Team learning curve and growth instead of personal progression is crucial to expand the limits of novel surgical techniques.
- Subjects :
- medicine.medical_specialty
Invasive strategy
medicine.medical_treatment
Operative Time
030230 surgery
Malignant disease
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Robotic Surgical Procedures
Blood loss
medicine
Hepatectomy
Humans
Laparoscopy
medicine.diagnostic_test
business.industry
Liver Neoplasms
Length of Stay
Surgery
Cholangiocarcinoma
Hepatocellular carcinoma
Liver metastasis
Liver resection
MILS
Robotic liver surgery
030220 oncology & carcinogenesis
Robotic hepatectomy
Operative time
business
Major hepatectomy
Subjects
Details
- ISSN :
- 20383312 and 2038131X
- Volume :
- 73
- Database :
- OpenAIRE
- Journal :
- Updates in Surgery
- Accession number :
- edsair.doi.dedup.....238c3ea1b066a70c3f07ed94d9c0a79e