Robotic Liver Surgery: Early Experience From a Single Surgical Center. Issue 1 (February 2016)

• Record Type: Journal Article
• Authors: Quijano, Yolanda; Vicente, Emilio; Ielpo, Benedetto; Duran, Hipolito; Diaz, Eduardo; Fabra, Isabel; Olivares, Sergio; Ferri, Valentina; Ortega, Irene; Malavé, Luis; Ferronetti, Antonio; Piccinni, Giuseppe; Caruso, Riccardo
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 26:Issue 1(2016)
• Publication Date: 2016-02
• Subjects: robotic -- minimally invasive surgery -- hepatectomy; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000227
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Introduction: The use of robotic surgery in liver resection is still limited. Our aim is to present our early experience of robotic liver resection. Materials and Methods: It is a retrospective review of Sanchinarro University hospital experience of robotic liver resection performed from 2011 to 2014. Clinicopathologic characteristics, and perioperative and postoperative outcomes were recorded and analyzed. Results: Twenty-one procedures have been performed and 13 (65%) of them were for malignancy. There were 2 left hepatectomies, 1 right hepatectomy, 1 associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), 1 bisegmentectomy and 3 segmentectomies, 9 wedge resections, and 3 pericystectomies. The mean operating time was 282 minutes (range, 90 to 540 min). Overall conversion rate and postoperative complication rate were 4.7% and 19%, respectively. The mean length of hospital stay was 13.4 days (range, 4 to 64 d). Conclusion: From our early experience, robotic liver surgery is a safe and feasible procedure, especially for major hepatectomies.