ArticleInfection2019
Not just minor resections: robotic approach for cystic echinococcosis of the liver.
Article in Infection, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic hepatectomy for benign liver disease: single-centre consecutive series and meta-analysis comparing minimally invasive and open approaches.Journal of robotic surgery · 2026Pooled it
- Endocystectomy as a conservative surgical treatment for hepatic cystic echinococcosis: A systematic review with single-arm meta-analysis.PLoS neglected tropical diseases · 2021Pooled it
- Robotic liver resection improves self-perception of recovery compared to open approach in a quality-of-life survey.Updates in surgery · 2026Article
- Simultaneous combined surgery for hepatic-renal double organ alveolar or cystic echinococcosis: A retrospective study.World journal of gastrointestinal surgery · 2025Article
- [Treatment concepts for hepatic echinococcosis].Chirurgie (Heidelberg, Germany) · 2023Article
- Major robotic hepatectomies: technical considerations.Updates in surgery · 2021Article
- Case Report: Successful DaVinci-Assisted Major Liver Resection for Alveolar Echinococcosis.Frontiers in surgery · 2021Article
- Robotic Liver Resection Versus Percutaneous Ablation for Early HCC: Short- and Long-Term Results.Cancers · 2020Article
- Successful robotic radical resection of hepatic echinococcosis located in posterosuperior liver segments.World journal of gastroenterology · 2020Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHuman echinococcosis is among the 17 neglected tropical diseases recognized by the World Health Organization. It is responsible for over $3 billion of health costs every year being endemic in large areas worldwide, and liver is affected in 70% of the cases. Surgery associated to medical treatment is the gold standard and robotic approach may be a valuable tool to achieve safe, parenchyma sparing resections.
methodsWe retrospectively analyzed the outcomes of patients that underwent robotic radical surgical treatment for hydatid liver disease, from prospectively maintained databases of three Italian centers.
results15 patients were included in this study, median age 51 years (24-76). 1 right hepatectomy, 2 left lateral sectionectomies, 5 segmentectomies (including 1 caudatectomy), 3 wedge resections and 5 cyst-pericystectomies were performed. Median estimated blood loss was of 100 ml (50-550 ml), and median operative time including docking was 210 min (95-590 min), with no need for conversion to open. Median hospital stay was 4 days, with only one readmission for fever. Only one patient experienced recurrence in a different liver segment.
conclusionsIn our experience, robotic approach for cystic echinococcosis of the liver proved to be a safe and effective strategy also in the so-called "difficult segments", with short post-operative stay and quick return to daily activities, along with the absence of surgical site recurrences. To the best of our knowledge, this is the largest report of robotic approach to hydatid liver disease.
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