Totally robotic isolated caudate-lobe liver resection for hydatid disease: report of a case

Int J Med Robot. 2016 Jun;12(2):254-61. doi: 10.1002/rcs.1685. Epub 2015 Jul 17.

Abstract

Background: Hepatic caudatectomy has always been considered a challenging procedure, because of the complex anatomy and deep location of this segment. Herein we report the first case of a totally robotic isolated caudate-lobe liver resection ever performed for hydatid disease.

Methods: A 55 year-old man was referred to our institution after diagnosis was made of a 5.6 cm hepatic lesion of the caudate lobe. Radiological suspicion was for hydatid disease. The patient underwent robotic-assisted hepatic caudatectomy.

Results: The operative time was 280 min and the estimated blood loss was 200 ml. The postoperative course was uneventful. The drain was removed on post-operative day 3 and the patient was discharged on post-operative day 6.

Conclusion: Robotic resection of the caudate lobe is a technically feasible procedure, which nevertheless requires high hepato-pancreato-biliary surgery skills, both in open an mini-invasive approaches. It provides several technical advantages in the field of mini-invasive surgery, yet assuring patient safety. Copyright © 2015 John Wiley & Sons, Ltd.

Keywords: caudate lobe; hydatid disease; robotic surgery.

Publication types

  • Case Reports

MeSH terms

  • Echinococcosis / surgery*
  • Hepatectomy / methods*
  • Humans
  • Liver / surgery*
  • Liver Neoplasms / surgery*
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures
  • Operative Time
  • Postoperative Period
  • Robotic Surgical Procedures / methods*
  • Surgery, Computer-Assisted
  • Tomography, X-Ray Computed
  • Ultrasonography