Skip to main content

Robotic Partial Hepatectomy for Colorectal Cancer Liver Metastases

  • Chapter
  • First Online:
Colorectal Cancer Liver Metastases
  • 914 Accesses

Abstract

Recent systematic review and meta-analyses showed laparoscopic hepatectomy for colorectal liver metastases is a beneficial alternative to open hepatectomy in selected patients, and it provides more favorable short-term outcomes such as less blood loss, lower blood transfusion rate, less overall morbidity, and shorter hospital stay. The introduction of robotic system may lower the hurdle for entry for practice into minimally invasive hepatectomy. The robotic surgical system is a sophisticated robotic platform designed to enable complex surgery in a minimally invasive approach. Well-known advantages of the robotic system included improved vision via 3-dimensional view, magnification, tremor suppression, and the dexterity of the instruments. Due to the current limited evidence, the oncological outcomes of robotic approach for colorectal liver metastasis are still unclear. Controlled trials are needed to compare the long-term oncological results after robot-assisted laparoscopic hepatectomy with those of open surgery or laparoscopic surgery.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
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

Similar content being viewed by others

References

  1. Lau WY, Lai EC. Hepatic resection for colorectal liver metastases. Singap Med J. 2007;48:635–9.

    CAS  Google Scholar 

  2. Nguyen KT, Laurent A, Dagher I, Geller DA, Steel J, Thomas MT, Marvin M, Ravindra KV, Mejia A, Lainas P, Franco D, Cherqui D, Buell JF, Gamblin TC. Minimally invasive liver resection for metastatic colorectal cancer: a multi-institutional, international report of safety, feasibility, and early outcomes. Ann Surg. 2009;250:842–8.

    Article  Google Scholar 

  3. de Jong MC, Pulitano C, Ribero D, Strub J, Mentha G, Schulick RD, Choti MA, Aldrighetti L, Capussotti L, Pawlik TM. Rates and patterns of recurrence following curative intent surgery for colorectal liver metastasis: an international multi-institutional analysis of 1669 patients. Ann Surg. 2009;250:440–8.

    PubMed  Google Scholar 

  4. Beppu T, Wakabayashi G, Hasegawa K, et al. Long-term and perioperative outcomes of laparoscopic versus open liver resection for colorectal liver metastases with propensity score matching: a multi-institutional Japanese study. J Hepatobiliary Pancreat Sci. 2015;22:711–20.

    Article  Google Scholar 

  5. Buell JF, Cherqui D, Geller DA, World Consensus Conference on Laparoscopic Surgery, et al. The international position on laparoscopic liver surgery: the Louisville statement, 2008. Ann Surg. 2009;250:825–30.

    Article  Google Scholar 

  6. Wakabayashi G, Cherqui D, Geller DA, et al. Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. Ann Surg. 2015;261:619–29.

    PubMed  Google Scholar 

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

    Article  Google Scholar 

  8. Ciria R, Cherqui D, Geller DA, Briceno J, Wakabayashi G. Comparative short-term benefits of laparoscopic liver resection: 9000 cases and climbing. Ann Surg. 2016;263:761–77.

    Article  Google Scholar 

  9. Zhang XL, Liu RF, Zhang D, Zhang YS, Wang T. Laparoscopic versus open liver resection for colorectal liver metastases: a systematic review and meta-analysis of studies with propensity score-based analysis. Int J Surg. 2017;44:191–203.

    Article  Google Scholar 

  10. Cheng Y, Zhang L, Li H, Wang L, Huang Y, Wu L, Zhang Y. Laparoscopic versus open liver resection for colorectal liver metastases: a systematic review. J Surg Res. 2017;220:234–46.

    Article  Google Scholar 

  11. Lai EC, Tang CN, Li MK. Conventional laparoscopic and robot-assisted laparoscopic liver resection for benign and malignant pathologies: a cohort study. J Robot Surg. 2012;6:295–300.

    Article  Google Scholar 

  12. Lai EC, Tang CN, Yang GP, Li MK. Multimodality laparoscopic liver resection for hepatic malignancy--from conventional total laparoscopic approach to robot-assisted laparoscopic approach. Int J Surg. 2011;9:324–8.

    Article  Google Scholar 

  13. Patriti A, Cipriani F, Ratti F, Bartoli A, Ceccarelli G, Casciola L, Aldrighetti L. Robot-assisted versus open liver resection in the right posterior section. JSLS. 2014;18:e2014.00040.

    Article  Google Scholar 

  14. Kingham TP, Leung U, Kuk D, Gönen M, D’Angelica MI, Allen PJ, DeMatteo RP, Laudone VP, Jarnagin WR, Fong Y. Robotic liver resection: a case-matched comparison. World J Surg. 2016;40:1422–8.

    Article  Google Scholar 

  15. Daskalaki D, Gonzalez-Heredia R, Brown M, Bianco FM, Tzvetanov I, Davis M, Kim J, Benedetti E, Giulianotti PC. Financial impact of the robotic approach in liver surgery: a comparative study of clinical outcomes and costs between the robotic and open technique in a single institution. J Laparoendosc Adv Surg Tech A. 2017;27:375–82.

    Article  Google Scholar 

  16. Chen PD, Wu CY, Hu RH, Chou WH, Lai HS, Liang JT, Lee PH, Wu YM. Robotic versus open hepatectomy for hepatocellular carcinoma: a matched comparison. Ann Surg Oncol. 2017;24:1021–8.

    Article  Google Scholar 

  17. Wang WH, Kuo KK, Wang SN, Lee KT. Oncological and surgical result of hepatoma after robot surgery. Surg Endosc. 2018;32:3918.

    Article  Google Scholar 

  18. Lai ECH, Tang CN. Training robotic hepatectomy: the Hong Kong experience and perspective. Hepatobiliary Surg Nutr. 2017;6:222–9.

    Article  Google Scholar 

  19. Lai EC, Tang CN, Li MK. Robot-assisted laparoscopic hemi-hepatectomy: technique and surgical outcomes. Int J Surg. 2012;10:11–5.

    Article  Google Scholar 

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

    Article  Google Scholar 

  21. Packiam V, Bartlett DL, Tohme S, Reddy S, Marsh JW, Geller DA, Tsung A. Minimally invasive liver resection: robotic versus laparoscopic left lateral sectionectomy. J Gastrointest Surg. 2012;16:2233–8.

    Article  Google Scholar 

  22. Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: short-term outcome. Am J Surg. 2013 Jun;205(6):697–702.

    Article  Google Scholar 

  23. Tranchart H, Ceribelli C, Ferretti S, Dagher I, Patriti A. Traditional versus robot-assisted full laparoscopic liver resection: a matched-pair comparative study. World J Surg. 2014;38:2904–9.

    Article  Google Scholar 

  24. Yu YD, Kim KH, Jung DH, Namkoong JM, Yoon SY, Jung SW, Lee SK, Lee SG. Robotic versus laparoscopic liver resection: a comparative study from a single center. Langenbeck’s Arch Surg. 2014;399:1039–45.

    Article  Google Scholar 

  25. Kim JK, Park JS, Han DH, Choi GH, Kim KS, Choi JS, Yoon DS. Robotic versus laparoscopic left lateral sectionectomy of liver. Surg Endosc. 2016;30:4756–64.

    Article  Google Scholar 

  26. Montalti R, Scuderi V, Patriti A, Vivarelli M, Troisi RI. Robotic versus laparoscopic resections of posterosuperior segments of the liver: a propensity score-matched comparison. Surg Endosc. 2016;30:1004–13.

    Article  Google Scholar 

  27. Salloum C, Lim C, Lahat E, Gavara CG, Levesque E, Compagnon P, Azoulay D. Robotic-assisted versus laparoscopic left lateral sectionectomy: analysis of surgical outcomes and costs by a propensity score matched cohort study. World J Surg. 2017;41:516–24.

    Article  Google Scholar 

  28. Troisi RI, Patriti A, Montalti R, Casciola L. Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi-institutional analysis. Int J Med Robot. 2013;9:160–6.

    Article  Google Scholar 

  29. Tsung A, Geller DA, Sukato DC, Sabbaghian S, Tohme S, Steel J, Marsh W, Reddy SK, Bartlett DL. Robotic versus laparoscopic hepatectomy: a matched comparison. Ann Surg. 2014;259:549–55.

    Article  Google Scholar 

  30. Spampinato MG, Coratti A, Bianco L, Caniglia F, Laurenzi A, Puleo F, Ettorre GM, Boggi U. Perioperative outcomes of laparoscopic and robot-assisted major hepatectomies: an Italian multi-institutional comparative study. Surg Endosc. 2014;28:2973–9.

    Article  Google Scholar 

  31. Wu YM, Hu RH, Lai HS, Lee PH. Robotic-assisted minimally invasive liver resection. Asian J Surg. 2014;37:53–7.

    Article  CAS  Google Scholar 

  32. Lee KF, Cheung YS, Chong CC, Wong J, Fong AK, Lai PB. Laparoscopic and robotic hepatectomy: experience from a single centre. ANZ J Surg. 2016;86:122–6.

    Article  Google Scholar 

  33. Lai EC, Tang CN. Robot-assisted laparoscopic partial caudate lobe resection for hepatocellular carcinoma in cirrhotic liver. Surg Laparosc Endosc Percutan Tech. 2014;24:e88–91.

    Article  Google Scholar 

  34. Dwyer RH, Scheidt MJ, Marshall JS, Tsoraides SS. Safety and efficacy of synchronous robotic surgery for colorectal cancer with liver metastases. J Robot Surg. 2018;12(4):603–6.

    Article  Google Scholar 

  35. Giulianotti PC, Giacomoni A, Coratti A, Addeo P, Bianco FM. Minimally invasive sequential treatment of synchronous colorectal liver metastases by laparoscopic colectomy and robotic right hepatectomy. Int J Color Dis. 2010;25:1507–11.

    Article  Google Scholar 

  36. Patriti A, Ceccarelli G, Bartoli A, Spaziani A, Lapalorcia LM, Casciola L. Laparoscopic and robot-assisted one-stage resection of colorectal cancer with synchronous liver metastases: a pilot study. J Hepato-Biliary-Pancreat Surg. 2009;16:450–7.

    Article  Google Scholar 

  37. Xu JM, Wei Y, Wang XY, Fan H, Chang WJ, Ren L, Jiang W, Fan J, Qin XY. Robot-assisted one-stage resection of rectal cancer with liver and lung metastases. World J Gastroenterol. 2015;21:2848–53.

    Article  Google Scholar 

  38. Sunil S, Restrepo J, Azin A, Hirpara D, Cleary S, Cleghorn MC, Wei A, Quereshy FA. Robotic simultaneous resection of rectal cancer and liver metastases. Clin Case Rep. 2017;5:1913–8.

    Article  Google Scholar 

  39. Giulianotti PC, Sbrana F, Coratti A, Bianco FM, Addeo P, Buchs NC, Ayloo SM, Benedetti E. Totally robotic right hepatectomy: surgical technique and outcomes. Arch Surg. 2011;146:844–50.

    Article  Google Scholar 

  40. Casciola L, Patriti A, Ceccarelli G, Bartoli A, Ceribelli C, Spaziani A. Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments. Surg Endosc. 2011;25:3815–24.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lai, E.C.H., Tang, C.N. (2020). Robotic Partial Hepatectomy for Colorectal Cancer Liver Metastases. In: Correia, M., Choti, M., Rocha, F., Wakabayashi, G. (eds) Colorectal Cancer Liver Metastases. Springer, Cham. https://doi.org/10.1007/978-3-030-25486-5_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-25486-5_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-25485-8

  • Online ISBN: 978-3-030-25486-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics