Short-term outcomes of robotic liver resection: An initial singleinstitution experience  

作　　者：Manuel Durán Javier Briceño Ana Padial Ferdinando Massimiliano Anelli Juan Manuel Sánchez-Hidalgo María Dolores Ayllón Rafael Calleja-Lozano Carmen García-Gaitan 

机构地区：[1]Unit of Hepatobiliary Surgery and Liver Transplantation,General and Digestive Surgery Department,Reina Sofia University Hospital,Cordoba 14004,Spain [2]GC18 Translational Research in Surgery of Solid Organ Transplantation,Maimonides Biomedical Research Institute,Córdoba 14004,Spain [3]GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery,Maimonides Biomedical Research Institute,Córdoba 14004,Spain [4]Department of Anesthesiology and Resuscitation,Reina Sofia University Hospital,Cordoba 14004,Spain

出　　处：《World Journal of Hepatology》2022年第1期224-233,共10页世界肝病学杂志（英文版）（电子版）

摘　　要：BACKGROUND Liver surgery has traditionally been characterized by the complexity of its procedures and potentially high rates of morbidity and mortality in inexperienced hands.The robotic approach has gradually been introduced in liver surgery and has increased notably in recent years.However,few centers currently perform robotic liver surgery and experiences in robot-assisted surgical procedures continue to be limited compared to the laparoscopic approach.AIM To analyze the outcomes and feasibility of an initial robotic liver program implemented in an experienced laparoscopic hepatobiliary center.METHODS A total of forty consecutive patients underwent robotic liver resection(da Vinci Xi,intuitive.com,United States)between June 2019 and January 2021.Patients were prospectively followed and retrospectively reviewed.Clinicopathological characteristics and perioperative and short-term outcomes were analyzed.Data are expressed as mean and standard deviation.The study was approved by the Institutional Review Board.RESULTS The mean age of patients was 59.55 years,of which 18(45%)were female.The mean body mass index was 29.41 kg/m^(2).Nine patients(22.5%)were cirrhotic.Patients were divided by type of resection as follows:Ten segmentectomies,three wedge resections,ten left lateral sectionectomies,six bisegmentectomies(two VVI bisegmentectomies and four IVb-V bisegmentectomies),two right anterior sectionectomies,five left hepatectomies and two right hepatectomies.Malignant lesions occurred in twenty-nine(72.5%)of the patients.The mean operative time was 258.11 min and two patients were transfused intraoperatively(5%).Inflow occlusion was used in thirty cases(75%)and the mean total clamping time was 32.62 min.There was a single conversion due to uncontrollable hemorrhage.Major postoperative complications(Clavien–Dindo>Ⅲb)occurred in three patients(7.5%)and mortality in one(2.5%).No patient required readmission to the hospital.The mean hospital stay was 5.6 d.CONCLUSION Although robotic hepatectomy is a safe and feasibl

关 键 词：ROBOTICS HEPATECTOMY Minimally invasive surgery Liver surgery Da vinci 

分 类 号：R657.3[医药卫生—外科学]