Robotic Hepatic Resection

Abstract

With advancements in healthcare technology and the push toward minimally invasive procedures, many surgical subspecialties are adopting robotic-assisted approaches to their standard practice. However, among hepatobiliary surgeons, there is some resistance to employ robotic-assisted hepatic resections as a common technique. In this chapter, the indications and contraindications to this procedure will be discussed to aid in the identification and selection of appropriate patients followed by the recommended preoperative assessment necessary for patient optimization. This chapter also details room setup and intraoperative technique for both a right and left hepatectomy as well as postoperative management. Lastly, this chapter provides consideration of both the advantages and disadvantages of undertaking the robotic approach to hepatic resection versus other intraoperative technique options. While this surgical technique is newer than other modalities, it should be considered for patients needing hepatic resection. The outcomes and treatment patterns should be continued to be studied as robotic-assisted techniques continue to develop and evolve.