Abstract
In experienced hands, robotic hepatectomy is a safe and effective surgical technique to address benign and malignant diseases affecting the liver. Details of our operative approach, including preoperative evaluation, patient preparation and positioning, port and instrument placement, parenchymal transection, specimen retrieval, and postoperative management, along with a few standard categories of resection and troubleshooting tips for commonly encountered technical challenges are described. The authors believe that this approach has a shorter learning curve, and mastery of robotic hepatectomy can minimize open conversions and allows for more complex resections to be performed minimally invasively in a safe and oncologically sound manner.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Reich H, McGlynn F, DeCaprio J, Budin R. Laparoscopic excision of benign liver lesions. Obstet Gynecol. 1991;78:956–8.
Dimick JB, Cowan JA, Knol JA, Upchurch GR. Hepatic resection in the United States. Arch Surg-chicago. 2003;138:185.
Cai X. Laparoscopic liver resection: the current status and the future. Hepatobiliary Surg Nutrition. 2018;7:98–104.
Ciria R, et al. Comparative short-term benefits of laparoscopic liver resection: 9000 cases and climbing. Ann Surg. 2016;263(4):761–77.
Chen J, Li H, Liu F, Li B, Wei Y. Surgical outcomes of laparoscopic versus open liver resection for hepatocellular carcinoma for various resection extent. Medicine. 2017;96:e6460.
Tee MC, et al. Minimally invasive hepatectomy is associated with decreased morbidity and resource utilization in the elderly. Surg Endosc. 2019:1–11. https://doi.org/10.1007/s00464-019-07298-5.
Hu M, et al. Robotic versus laparoscopic liver resection in complex cases of left lateral sectionectomy. Int J Surg. 2019;67:54–60.
Beard RE, et al. Long-term and oncologic outcomes of robotic versus laparoscopic liver resection for metastatic colorectal Cancer: a Multicenter, propensity score matching analysis. World J Surg. 2020;44:887–95.
Leung U, Fong Y. Robotic liver surgery. Hepatobiliary Surg Nutrition. 2014;3:288–94.
Tsung A, et al. Robotic versus laparoscopic hepatectomy: a matched comparison. Ann Surg. 2014;259:549–55.
Fruscione M, et al. Robotic-assisted versus laparoscopic major liver resection: analysis of outcomes from a single center. Hpb Official J Int Hepato Pancreato Biliary Assoc. 2019;21:906–11.
Nota CL, et al. Robotic versus open minor liver resections of the Posterosuperior segments: a multinational, propensity score-matched study. Ann Surg Oncol. 2019;26:583–90.
Labadie KP. IWATE criteria are associated with perioperative outcomes in robotic hepatectomy: a retrospective review of 225 resections. Surg Endosc. (in press).
Conflict of Interest
The authors have no conflict of interest to declare.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Labadie, K.P., Dickerson, L.K., Park, J.O. (2021). Robotic Hepatectomy. In: Patti, M.G., Zureikat, A.H., Fichera, A., Schlottmann, F. (eds) Techniques in Minimally Invasive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-67940-8_12
Download citation
DOI: https://doi.org/10.1007/978-3-030-67940-8_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-67939-2
Online ISBN: 978-3-030-67940-8
eBook Packages: MedicineMedicine (R0)