Skip to main content
SpringerLink
Log in

Robotic Hepatic Resections: Segmentectomy, Lobectomy, Parenchymal Sparing

  • Chapter
  • First Online:
Robotics in General Surgery

  • 2596 Accesses

Abstract

Robotic assistance offers several advantages for certain surgical procedures. Its use has been and is being investigated for its application in liver resection. This chapter describes how we use robotic assistance for hepatic resection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Langenbuch D. Ein fall von resektion eines linksseitigen schnurlappens der leber. Heilung Berl Klin Wochenschr. 1888;25:37–8.

    Google Scholar 

  2. Couinaud C, editor. Etudes anatomiques et chirurgicales. Paris: Masson; 1957.

    Google Scholar 

  3. Cantlie J. On a new arrangement of the right and left lobes of the liver. J Anat Physiol. 1897;32:4–9.

    Google Scholar 

  4. Hjortsjo CH. The topography of the intrahepatic duct systems. Acta Anat (Basel). 1951;11(4):599–615.

    Article  CAS  Google Scholar 

  5. McIndoe AH, Counsellor V. The bilaterality of the liver. Arch Surg. 1927;15:589–612.

    Article  Google Scholar 

  6. Fortner JG, Shiu MH, Kinne DW, Kim DK, Castro EB, Watson RC, et al. Major hepatic resection using vascular isolation and hypothermic perfusion. Ann Surg. 1974;180(4):644–52.

    Article  CAS  PubMed  Google Scholar 

  7. Huguet C, Nordlinger B, Bloch P, Conard J. Tolerance of the human liver to prolonged normothermic ischemia. A biological study of 20 patients submitted to extensive hepatectomy. Arch Surg. 1978;113(12):1448–51.

    Article  CAS  PubMed  Google Scholar 

  8. Huguet C, Nordlinger B, Galopin JJ, Bloch P, Gallot D. Normothermic hepatic vascular exclusion for extensive hepatectomy. Surg Gynecol Obstet. 1978;147(5):689–93.

    CAS  PubMed  Google Scholar 

  9. Kousnetzoff M, Pensky J. Sur la resection partielle du foie. Rev Chir. 1896;16:954–92.

    Google Scholar 

  10. Melendez JA, Arslan V, Fischer ME, Wuest D, Jarnagin WR, Fong Y, et al. Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction. J Am Coll Surg. 1998;187(6):620–5.

    Article  CAS  PubMed  Google Scholar 

  11. Pringle JH. V. Notes on the arrest of hepatic hemorrhage due to trauma. Ann Surg. 1908;48(4):541–9.

    Article  CAS  PubMed  Google Scholar 

  12. Bismuth H, Castaing D, Garden OJ. The use of operative ultrasound in surgery of primary liver tumors. World J Surg. 1987;11(5):610–4.

    Article  CAS  PubMed  Google Scholar 

  13. Castaing D, Kunstlinger F, Habib N, Bismuth H. Intraoperative ultrasonographic study of the liver. Methods and anatomic results. Am J Surg. 1985;149(5):676–82.

    Article  CAS  PubMed  Google Scholar 

  14. Fong Y, Blumgart LH. Useful stapling techniques in liver surgery. J Am Coll Surg. 1997;185(1):93–100.

    Article  CAS  PubMed  Google Scholar 

  15. Geller DA, Tsung A, Maheshwari V, Rutstein LA, Fung JJ, Marsh JW. Hepatic resection in 170 patients using saline-cooled radiofrequency coagulation. HPB (Oxford). 2005;7(3):208–13.

    Article  Google Scholar 

  16. Saiura A, Yamamoto J, Koga R, Sakamoto Y, Kokudo N, Seki M, et al. Usefulness of LigaSure for liver resection: analysis by randomized clinical trial. Am J Surg. 2006;192(1):41–5.

    Article  PubMed  Google Scholar 

  17. Weber JC, Navarra G, Jiao LR, Nicholls JP, Jensen SL, Habib NA. New technique for liver resection using heat coagulative necrosis. Ann Surg. 2002; 236(5):560–3.

    Article  PubMed  Google Scholar 

  18. Belghiti J, Hiramatsu K, Benoist S, Massault P, Sauvanet A, Farges O. Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection. J Am Coll Surg. 2000;191(1):38–46.

    Article  CAS  PubMed  Google Scholar 

  19. Dimick JB, Pronovost PJ, Cowan Jr JA, Lipsett PA. Postoperative complication rates after hepatic resection in Maryland hospitals. Arch Surg. 2003; 138(1):41–6.

    Article  PubMed  Google Scholar 

  20. Jarnagin WR, Gonen M, Fong Y, DeMatteo RP, Ben-Porat L, Little S, et al. Improvement in perioperative outcome after hepatic resection: analysis of 1,803 consecutive cases over the past decade. Ann Surg. 2002;236(4):397–406. discussion −7.

    Article  PubMed  Google Scholar 

  21. Cai XJ, Yang J, Yu H, Liang X, Wang YF, Zhu ZY, et al. Clinical study of laparoscopic versus open hepatectomy for malignant liver tumors. Surg Endosc. 2008;22(11):2350–6.

    Article  PubMed  Google Scholar 

  22. Koffron AJ, Auffenberg G, Kung R, Abecassis M. Evaluation of 300 minimally invasive liver resections at a single institution: less is more. Ann Surg. 2007;246(3):385–92. discussion 92–4.

    Article  PubMed  Google Scholar 

  23. Nguyen KT, Gamblin TC, Geller DA. World review of laparoscopic liver resection-2,804 patients. Ann Surg. 2009;250(5):831–41.

    Article  PubMed  Google Scholar 

  24. Kwoh YS, Hou J, Jonckheere EA, Hayati S. A robot with improved absolute positioning accuracy for CT guided stereotactic brain surgery. IEEE Trans Biomed Eng. 1988;35(2):153–60.

    Article  CAS  PubMed  Google Scholar 

  25. Satava RM. Robotic surgery: from past to future–a personal journey. Surg Clin North Am. 2003;83(6): 1491–500. xii.

    Article  PubMed  Google Scholar 

  26. Chan OC, Tang CN, Lai EC, Yang GP, Li MK. Robotic hepatobiliary and pancreatic surgery: a cohort study. J Hepatobiliary Pancreat Sci. 2011;18(4): 471–80.

    Article  PubMed  Google Scholar 

  27. Ryska M, Fronek J, Rudis J, Jurenka B, Langer D, Pudil J. Manual and robotic laparoscopic liver resection. Two case-reviews. Rozhl Chir. 2006;85(10): 511–6.

    CAS  PubMed  Google Scholar 

  28. Kitisin K, Packiam V, Bartlett DL, Tsung A. A current update on the evolution of robotic liver surgery. Minerva Chir. 2011;66(4):281–93.

    CAS  PubMed  Google Scholar 

  29. Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, et al. The international position on laparoscopic liver surgery: the Louisville Statement, 2008. Ann Surg. 2009;250(5):825–30.

    Article  PubMed  Google Scholar 

  30. Abood GJ, Tsung A. Robotic-assisted surgery: improved tool for major liver resections? J Hepatobiliary Pancreat Sci. 2013;20(2):151–6.

    Article  PubMed  Google Scholar 

  31. Berber E, Akyildiz HY, Aucejo F, Gunasekaran G, Chalikonda S, Fung J. Robotic versus laparoscopic resection of liver tumours. HPB (Oxford). 2010;12(8):583–6.

    Article  Google Scholar 

  32. Giulianotti PC, Coratti A, Sbrana F, Addeo P, Bianco FM, Buchs NC, et al. Robotic liver surgery: results for 70 resections. Surgery. 2011;149(1):29–39.

    Article  PubMed  Google Scholar 

  33. Giulianotti PC, Sbrana F, Bianco FM, Addeo P. Robot-assisted laparoscopic extended right hepatectomy with biliary reconstruction. J Laparoendosc Adv Surg Tech A. 2010;20(2):159–63.

    Article  PubMed  Google Scholar 

  34. Ji WB, Wang HG, Zhao ZM, Duan WD, Lu F, Dong JH. Robotic-assisted laparoscopic anatomic hepatectomy in China: initial experience. Ann Surg. 2011;253(2):342–8.

    Article  PubMed  Google Scholar 

  35. Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy - A comparative study. Int J Surg. 2012;10(9):475–9.

    Article  PubMed  Google Scholar 

  36. Tomulescu V, Stanciulea O, Balescu I, Vasile S, Tudor S, Gheorghe C, et al. First year experience of robotic-assisted laparoscopic surgery with 153 cases in a general surgery department: indications, technique and results. Chirurgia (Bucur). 2009;104(2): 141–50.

    CAS  Google Scholar 

  37. Wakabayashi G, Sasaki A, Nishizuka S, Furukawa T, Kitajima M. Our initial experience with robotic hepato-biliary-pancreatic surgery. J Hepatobiliary Pancreat Sci. 2011;18(4):481–7.

    Article  PubMed  Google Scholar 

  38. Choi SB, Park JS, Kim JK, Hyung WJ, Kim KS, Yoon DS, et al. Early experiences of robotic-assisted laparoscopic liver resection. Yonsei Med J. 2008;49(4):632–8.

    Article  PubMed  Google Scholar 

  39. Gill J, Booth MI, Stratford J, Dehn TC. The extended learning curve for laparoscopic fundoplication: a cohort analysis of 400 consecutive cases. J Gastrointest Surg. 2007;11(4):487–92.

    Article  CAS  PubMed  Google Scholar 

  40. Hardacre JM. Is there a learning curve for pancreaticoduodenectomy after fellowship training? HPB Surg. 2010;2010:230287.

    Article  PubMed  Google Scholar 

  41. Tekkis PP, Senagore AJ, Delaney CP, Fazio VW. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg. 2005;242(1):83–91.

    Article  PubMed  Google Scholar 

  42. Tseng JF, Pisters PW, Lee JE, Wang H, Gomez HF, Sun CC, et al. The learning curve in pancreatic surgery. Surgery. 2007;141(5):694–701.

    Article  PubMed  Google Scholar 

  43. An open-source robo-surgeon. The Economist. Technology Quarterly 2012 Mar 3; Q1.

    Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge Randal McKenzie/McKenzie Illustrations for figures 2–10.

Author information

Authors and Affiliations

  1. Division of Surgical Oncology, Department of Surgery, University of Pittsburgh Medical Center, 5150 Centre Avenue, Pittsburgh, PA, 15232, USA

    M. Shirin Sabbaghian M.D. & David L. Bartlett M.D.

  2. Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, University of Pittsburgh Medical Center, Liver Cancer Center, Montefiore Hospital, 3459 Fifth Avenue, 7 South, Pittsburgh, PA, 15213, USA

    Allan Tsung M.D.

Authors
  1. M. Shirin Sabbaghian M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. David L. Bartlett M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Allan Tsung M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Allan Tsung M.D. .

Editor information

Editors and Affiliations

  1. Metabolic Medicine and Surgery Institute, Florida Hospital Celebration Health, Celebration, Florida, USA

    Keith Chae Kim

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Sabbaghian, M.S., Bartlett, D.L., Tsung, A. (2014). Robotic Hepatic Resections: Segmentectomy, Lobectomy, Parenchymal Sparing. In: Kim, K. (eds) Robotics in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8739-5_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8739-5_15

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8738-8

  • Online ISBN: 978-1-4614-8739-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation