Fully robotic left hepatectomy for malignant tumor: technique and initial results

Robotic liver surgery has been considered as a unique opportunity to overcome the traditional limitations of laparoscopy; thus, it can potentially extend the indications of minimally invasive liver surgery. From April 2015 to May 2017, 35 patients underwent fully robotic left hepatectomy. The mean o...

Full description

Saved in:
Bibliographic Details
Published in:Updates in surgery 2019-03, Vol.71 (1), p.129-135
Main Authors: Marino, Marco Vito, Gulotta, Gaspare, Komorowski, Andrzej Lech
Format: Article
Language:English
Subjects:
Adult
Aged
Blood Loss, Surgical - statistics & numerical data
Carcinoma, Hepatocellular - surgery
Cholangiocarcinoma - surgery
Female
Hepatectomy - methods
Humans
Length of Stay
Liver - surgery
Liver Neoplasms - surgery
Margins of Excision
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Robotic Surgical Procedures - methods
Surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Robotic liver surgery has been considered as a unique opportunity to overcome the traditional limitations of laparoscopy; thus, it can potentially extend the indications of minimally invasive liver surgery. From April 2015 to May 2017, 35 patients underwent fully robotic left hepatectomy. The mean operative time was 315 min (200–445 min) and the mean estimated blood loss was 245 ml (125–628 ml). Pringle maneuver was required in six cases. Cancer was the indication for surgery in all patients (14 liver metastases, 18 hepatocellular carcinomas and 3 cholangiocarcinomas). There were one to four lesions in a patient and the mean lesion size was 39.2 mm (15–85 mm). The average length of hospital stay was 6.5 days (5–14 days). Perioperative morbidity rate was 17.2%. Two patients underwent conversion to open surgery. The 90-day mortality rate was nil. The mean surgical resection margin was 12 (1–22) mm, and R0-resection was reached in 33 out of 35 cases. The robotic left hepatectomy provides interesting surgical outcomes and good oncologic adequacy. It can be safely applied for the management of liver malignancies.
ISSN:2038-131X
2038-3312
DOI:10.1007/s13304-018-0560-2