ArticleJournal of clinical medicine2021
Three-Device (3D) Technique for Liver Parenchyma Dissection in Robotic Liver Surgery.
Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- 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
- Robotic, laparoscopic, and open surgery for perihilar cholangiocarcinoma: a systematic review and direct pairwise meta-analysis.Frontiers in surgery · 2026Pooled it
- Study - International multicentric minimally invasive liver resection (SIMMILR-4) : a comparison of conventional, digitally enhanced and collaborative robotic with Tele-robotic laparoscopic surgery for colorectal liver metastases.Journal of robotic surgery · 2025Article
- Evolution of Robotic-Assisted Hepatobiliary Surgery.Bioengineering (Basel, Switzerland) · 2025Review
- Learning curve analysis of 100 consecutive robotic liver resections.Surgical endoscopy · 2025Article
- Robotic liver parenchymal transection techniques: a comprehensive overview and classification.Journal of robotic surgery · 2024Review
- Article
- Is it now possible to transition from laparoscopic liver resection to robotic liver resection?Hepatobiliary surgery and nutrition · 2024Article
- Article
- Microfracture-coagulation for the real robotic liver parenchymal transection.Journal of robotic surgery · 2024Article
- Improving performance of robotic liver resections with high technical complexity by Robo-Lap approach.Hepatobiliary surgery and nutrition · 2023Article
- Minimally Invasive Hepatectomy for Liver Tumors: Where Are We Now?Journal of clinical medicine · 2023Article
- Non-Stick Liver Parenchymal Transection With Saline-Linked Bipolar Clamp-Crush Technique in Robotic Liver Resection.Cureus · 2023Article
- The preoperative M2BPGi score predicts operative difficulty and the incidence of postoperative complications in laparoscopic liver resection.Surgical endoscopy · 2023Article
- What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?Cancers · 2022Review
- Article
- [Influence of the COVID-19 pandemic on robotic visceral surgery in Germany].Chirurgie (Heidelberg, Germany) · 2022Article
- Article
- Laparoscopic and Robot-Assisted Hepatic Surgery: An Historical Review.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe implementation of robotics in liver surgery offers several advantages compared to conventional open and laparoscopic techniques. One major advantage is the enhanced degree of freedom at the tip of the robotic tools compared to laparoscopic instruments. This enables excellent vessel control during inflow and outflow dissection of the liver. Parenchymal transection remains the most challenging part during robotic liver resection because currently available robotic instruments for parenchymal transection have several limitations and there is no standardized technique as of yet. We established a new strategy and share our experience.
methodsWe present a novel technique for the transection of liver parenchyma during robotic surgery, using three devices (3D) simultaneously: monopolar scissors and bipolar Maryland forceps of the robot and laparoscopic-guided waterjet. We collected the perioperative data of twenty-eight patients who underwent this procedure for minor and major liver resections between February 2019 and December 2020 from the Magdeburg Registry of minimally invasive liver surgery (MD-MILS).
resultsTwenty-eight patients underwent robotic-assisted 3D parenchyma dissection within the investigation period. Twelve cases of major and sixteen cases of minor hepatectomy for malignant and non-malignant cases were performed. Operative time for major liver resections (≥ 3 liver segments) was 381.7 (SD 80.6) min vs. 252.0 (70.4) min for minor resections (
conclusionsThe 3D technique for parenchyma dissection in robotic liver surgery is a safe and feasible procedure. This novel method offers an advanced locally controlled preparation of intrahepatic vessels and bile ducts. The combination of precise extrahepatic vessel handling with the 3D technique of parenchyma dissection is a fundamental step forward to the standardization of robotic liver surgery for teaching purposing and the wider adoption of robotic hepatectomy into routine patient care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.