Advertisement

Robotic Partial Hepatectomy

  • Susanne G. Warner
  • Yuman Fong
Chapter

Abstract

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.

Keywords

Liver resection Parenchymal transection Pedicle ligation Surgical indications 

References

  1. 1.
    Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, et al. The international position on laparoscopic liver surgery: the Louisville statement, 2008. Ann Surg. 2009;250(5):825–30.CrossRefPubMedCentralGoogle Scholar
  2. 2.
    Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV, et al. Experience with more than 500 minimally invasive hepatic procedures. Ann Surg. 2008;248(3):475–86.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Nguyen KT, Laurent A, Dagher I, Geller DA, Steel J, Thomas MT, et al. Minimally invasive liver resection for metastatic colorectal cancer: a multi-institutional, international report of safety, feasibility, and early outcomes. Ann Surg. 2009;250(5):842–8.CrossRefPubMedCentralGoogle Scholar
  4. 4.
    Dagher I, O’Rourke N, Geller DA, Cherqui D, Belli G, Gamblin TC, et al. Laparoscopic major hepatectomy: an evolution in standard of care. Ann Surg. 2009;250(5):856–60.CrossRefPubMedCentralGoogle Scholar
  5. 5.
    Ocuin LM, Tsung A. Robotic liver resection for malignancy: current status, oncologic outcomes, comparison to laparoscopy, and future applications. J Surg Oncol. 2015;112(3):295–301.CrossRefPubMedCentralGoogle Scholar
  6. 6.
    Leung U, Fong Y. Robotic liver surgery. Hepatobiliary Surg Nutr. 2014;3(5):288–94.PubMedPubMedCentralGoogle Scholar
  7. 7.
    Fitzgerald TL, Brinkley J, Banks S, Vohra N, Englert ZP, Zervos EE. The benefits of liver resection for non-colorectal, non-neuroendocrine liver metastases: a systematic review. Langenbeck’s Arch Surg. 2014;399(8):989–1000.CrossRefGoogle Scholar
  8. 8.
    D’Angelica M, Brennan MF, Fortner JG, Cohen AM, Blumgart LH, Fong Y. Ninety-six five-year survivors after liver resection for metastatic colorectal cancer. J Am Coll Surg. 1997;185(6):554–9.CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Fong Y, Cohen AM, Fortner JG, Enker WE, Turnbull AD, Coit DG, et al. Liver resection for colorectal metastases. J Clin Oncol. 1997;15(3):938–46.CrossRefPubMedCentralGoogle Scholar
  10. 10.
    Hughes MJ, McNally S, Wigmore SJ. Enhanced recovery following liver surgery: a systematic review and meta-analysis. HPB (Oxford). 2014;16(8):699–706.CrossRefGoogle Scholar
  11. 11.
    Aloia TA, Geerts WH, Clary BM, Day RW, Hemming AW, D’Albuquerque LC, et al. Venous thromboembolism prophylaxis in liver surgery. J Gastrointest Surg. 2016;20(1):221–9.CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryCity of Hope National Medical CenterDuarteUSA

Personalised recommendations