Robotic Partial Hepatectomy
Minimally invasive liver resection has been adopted as the standard of care for peripheral hepatic lesions. While many surgeons are comfortable with left lateral sectionectomies and with laparoscopic wedge resections in peripheral segments, more major resections are less often attempted as minimally invasive (MIS). Recent improvements in robotic instrumentation, such as articulated instruments, sealers, and staplers, are expanding implementation of MIS liver surgery. Robotic surgery is now able to make MIS liver surgery much easier and safer. In this chapter, we will discuss indications for robotic liver resections, and provide an overview of the robotic procedures including preoperative considerations, procedure steps and tips, and postoperative patient care.
KeywordsLiver resection Parenchymal transection Pedicle ligation Surgical indications