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European Surgery

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08.07.2020 | main topic

Robotic liver surgery—advantages and limitations

verfasst von: Camille Stewart, MD, Yuman Fong

Erschienen in: European Surgery | Ausgabe 4/2021

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Summary

Background

Robotic surgery is now within the standard of care for many operations, including hepatectomy. Robotic liver surgery has advantages over laparoscopic and open surgical techniques, but these must be weighed against certain limitations when selecting an approach.

Methods

Advantages and limitations of robotic liver surgery are discussed here based on a literature survey.

Results

Advantages include improved surgeon ergonomics, better access to posterior and superior liver segments, excellent visualization, and ease of using indocyanine green. There may also be a shorter learning curve for use, and there are possibilities for technological assistance with surgery in the future. Limitations are related to those known for minimally invasive surgery in general, but also include time for docking and cost. Considerations are reviewed in detail to facilitate decision making when considering a robotic approach for liver surgery.

Conclusion

The robotic platform is not appropriate for all liver operations at this time. Benefits of robotic surgery are most clearly realized when approaching lesions in the posterior and superior segments, and when a large incision would be required to remove a small amount of liver parenchyma were the operation to be performed in an open fashion.

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Titel: Robotic liver surgery—advantages and limitations
verfasst von: Camille Stewart, MD
Yuman Fong
Publikationsdatum: 08.07.2020
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 4/2021
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-020-00650-3

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusion

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