Robotic liver resection: Hurdles and beyond

INTERNATIONAL JOURNAL OF SURGERY

卷:82

Editorial Material

Di Benedetto, Fabrizio¹  Petrowsky, Henrik²  Magistri, Paolo¹  Halazun, Karim J.³ 

[1] Univ Modena & Reggio Emilia, Hepatopancreatobiliary Surg & Liver Transplantat, Modena, Italy

[2] Univ Hosp Zurich, Swiss HPB & Transplant Ctr Zurich, Dept Surg & Transplantat, Zurich, Switzerland

[3] New York Presbyterian Weill Cornell Med Ctr, New York, NY USA

关键词: HCC;    CALM;    Cirrhosis;    Cholangiocarcinoma;    Learning curve;    LDLT;    ICG;   

DOI  :  10.1016/j.ijsu.2020.05.070

来源: Elsevier

【 摘 要 】

Laparoscopy is currently considered the standard of care for certain procedures such as left-lateral sectionectomies and wedge resections of anterior segments. The role of robotic liver surgery is still under debate, especially with regards to oncological outcomes. The purpose of this review is to describe how the field of robotic liver surgery has expanded, and to identify current limitations and future perspectives of the technology. Available evidences suggest that oncologic results after robotic liver resection are comparable to open and laparoscopic approaches for hepatocellular carcinoma and colorectal liver metastases, with identifiable advantages for cirrhotic patients and patients undergoing repeat resections. Excellent outcomes and optimal patient safety can be only achieved with specific hepato-biliary and general minimally invasive training to overcome the learning curve.

【 授权许可】

Free