Totally robotic caudate lobe liver resection: Bridge over troubled water. Issue 6 (29th September 2020)

• Record Type: Journal Article
• Authors: Cañada Trofo Surjan, Rodrigo; do Prado Silveira, Sergio
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 6(2020)
• Page Start: 1
• Page End: 6
• Publication Date: 2020-09-29
• Subjects: hepatectomy -- liver neoplasms -- robotics; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2152
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Background: Minimally invasive hepatectomy has well‐known advantages over the traditional open approach. Inherent limitations of laparoscopy make major hepatectomies and the resection of upper and posterior segments a great technical challenge. The robotic approach overcomes most of these limitations, and this technology is most useful in the resection of the deeply located caudate lobe. Methods: We describe the robotic caudate lobe resection technical aspects, using the first robotic resection of the caudate lobe to treat a biphenotypic hepatocholangiocarcinoma to illustrate the procedure. We also performed a literature review on the current status of the robotic approach to segment (Sg) 1. Results: Technical approach to the robotic caudate lobe resection is described in a patient with uneventful post‐operative recovery. Literature review demonstrated only four previous authors reporting the use of this technique. Conclusion: We present a step‐by‐step approach to the hepatic Sg 1 resection by robotic approach.