Robotic Liver Surgery: Early Experience From a Single Surgical Center

Surg Laparosc Endosc Percutan Tech. 2016 Feb;26(1):66-71. doi: 10.1097/SLE.0000000000000227.

Abstract

Introduction: The use of robotic surgery in liver resection is still limited. Our aim is to present our early experience of robotic liver resection.

Materials and methods: It is a retrospective review of Sanchinarro University hospital experience of robotic liver resection performed from 2011 to 2014. Clinicopathologic characteristics, and perioperative and postoperative outcomes were recorded and analyzed.

Results: Twenty-one procedures have been performed and 13 (65%) of them were for malignancy. There were 2 left hepatectomies, 1 right hepatectomy, 1 associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), 1 bisegmentectomy and 3 segmentectomies, 9 wedge resections, and 3 pericystectomies. The mean operating time was 282 minutes (range, 90 to 540 min). Overall conversion rate and postoperative complication rate were 4.7% and 19%, respectively. The mean length of hospital stay was 13.4 days (range, 4 to 64 d).

Conclusion: From our early experience, robotic liver surgery is a safe and feasible procedure, especially for major hepatectomies.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Blood Loss, Surgical / statistics & numerical data
  • Blood Transfusion / statistics & numerical data
  • Cholecystectomy / methods
  • Conversion to Open Surgery / statistics & numerical data
  • Feasibility Studies
  • Female
  • Hepatectomy / methods
  • Humans
  • Laparoscopy / methods
  • Length of Stay
  • Liver / surgery*
  • Liver Neoplasms / surgery*
  • Lymph Node Excision / methods
  • Male
  • Middle Aged
  • Operative Time
  • Patient Positioning
  • Retrospective Studies
  • Robotic Surgical Procedures / methods*
  • Treatment Outcome