Application of da Vinci robot and laparoscopy on repeat hepatocellular carcinoma

Background: Repeat laparoscopic liver resection has been used safely and effectively on hepatocellular carcinoma (HCC). However, few studies have been performed on repeat HCC surgery by a da Vinci robot. This study aims to evaluate the outcomes of the patients with repeat HCC treated using a da Vinc...

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Bibliographic Details
Published in:Journal of minimal access surgery 2022-07, Vol.18 (3), p.378-383
Main Authors: Yu, Shuiping, Yuan, Guandou, Lu, Shiliu, Li, Jiangfa, Tang, Bo, Zhong, Fudi, Su, Huizhao, He, Songqin
Format: Article
Language:English
Subjects:
Care and treatment
da vinci robot
hepatocellular carcinoma
Hepatoma
laparoscopic
Laparoscopic surgery
Laparoscopy
Liver
Liver cancer
Original
repeat surgery
Robotic surgery
Robots
Surgery
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Summary:Background: Repeat laparoscopic liver resection has been used safely and effectively on hepatocellular carcinoma (HCC). However, few studies have been performed on repeat HCC surgery by a da Vinci robot. This study aims to evaluate the outcomes of the patients with repeat HCC treated using a da Vinci robot or laparoscopic system at a single centre. Methods: All of the patients with repeat HCC treated using a da Vinci robotic or laparoscopic system between April 2017 and April 2020 were included in this retrospective study. Results: There were 24 patients with a mean age of 56 years who underwent da Vinci robotic or laparoscopic surgery for treatment of repeat HCC who were included in this study. The operations lasted 152 ± 25 min and 142 ± 34 min. The average intraoperative blood loss was 284 ± 89 ml and 251 ± 92 ml. The average hospitalisation stay lasted 9 ± 2 days and 9 ± 3 days. The rates at which surgeons switched to open surgery were 9% and 23%. No serious perioperative or post-operative complications were encountered. Conclusion: Da Vinci robots can provide a precise dissection of the tissue under a perfect view. It is a technically feasible procedure for less rates at which surgeons switched to open surgery on repeat HCC.
ISSN:0972-9941
1998-3921
DOI:10.4103/jmas.JMAS_111_21