ArticleWorld journal of hepatology2022
Short-term outcomes of robotic liver resection: An initial single-institution experience.
Article in World journal of hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A comparative meta-analysis and systematic review of robot-assisted versus laparoscopic hemihepatectomy.Journal of robotic surgery · 2025Pooled it
- Transitioning to the robotic era for perihilar cholangiocarcinoma: initial implementation and outcomes in a single center.Surgical endoscopy · 2026Article
- Implementation of a Robotic Liver Surgery Program in a Large Municipal Hospital: A Propensity Score-Matched Analysis of Clinical, Economic, and Learning Curve Outcomes.Journal of clinical medicine · 2026Article
- Robotic liver surgery: a global snapshot. Results from an international survey.Surgical endoscopy · 2026Article
- Novel single-port robotic hepatectomy: initial clinical experience and outcomes.Surgical endoscopy · 2025Article
- A Decade of Innovation: Short-Term Outcomes of 150 Robotic Liver Resections.Journal of clinical medicine · 2025Article
- Evaluation of outcomes of robotic liver surgery using the IWATE criteria.Hepatobiliary surgery and nutrition · 2025Article
- Predicting the complexity of robotic liver surgery: a comparative analysis of the IWATE, Kawaguchi-Gayet, Hasegawa, Southampton, and Tampa scores.Surgical endoscopy · 2025Article
- Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre.Surgical endoscopy · 2024Article
- Exploring the feasibility of robotic liver resection in a limited resource setting.Journal of robotic surgery · 2024Article
- Advancing treatment for perihilar cholangiocarcinoma: role of hepatopancreaticoduodenectomy in small-volume centers.Frontiers in surgery · 2024Article
- A systematic review and meta-analysis of blood transfusion rates during liver resection by country.Annals of surgical treatment and research · 2023Article
- Robotic versus laparoscopic liver resection for huge (≥10 cm) liver tumors: an international multicenter propensity-score matched cohort study of 799 cases.Hepatobiliary surgery and nutrition · 2023Article
- What Is the Current Role and What Are the Prospects of the Robotic Approach in Liver Surgery?Cancers · 2022Review
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8 authors.
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Abstract
backgroundLiver surgery has traditionally been characterized by the complexity of its procedures and potentially high rates of morbidity and mortality in inexperienced hands. The robotic approach has gradually been introduced in liver surgery and has increased notably in recent years. However, few centers currently perform robotic liver surgery and experiences in robot-assisted surgical procedures continue to be limited compared to the laparoscopic approach.
aimTo analyze the outcomes and feasibility of an initial robotic liver program implemented in an experienced laparoscopic hepatobiliary center.
methodsA total of forty consecutive patients underwent robotic liver resection (da Vinci Xi, intuitive.com, United States) between June 2019 and January 2021. Patients were prospectively followed and retrospectively reviewed. Clinicopathological characteristics and perioperative and short-term outcomes were analyzed. Data are expressed as mean and standard deviation. The study was approved by the Institutional Review Board.
resultsThe mean age of patients was 59.55 years, of which 18 (45%) were female. The mean body mass index was 29.41 kg/m². Nine patients (22.5%) were cirrhotic. Patients were divided by type of resection as follows: Ten segmentectomies, three wedge resections, ten left lateral sectionectomies, six bisegmentectomies (two V-VI bisegmentectomies and four IVb-V bisegmentectomies), two right anterior sectionectomies, five left hepatectomies and two right hepatectomies. Malignant lesions occurred in twenty-nine (72.5%) of the patients. The mean operative time was 258.11 min and two patients were transfused intraoperatively (5%). Inflow occlusion was used in thirty cases (75%) and the mean total clamping time was 32.62 min. There was a single conversion due to uncontrollable hemorrhage. Major postoperative complications (Clavien-Dindo > IIIb) occurred in three patients (7.5%) and mortality in one (2.5%). No patient required readmission to the hospital. The mean hospital stay was 5.6 d.
conclusionAlthough robotic hepatectomy is a safe and feasible procedure with favorable short-term outcomes, it involves a demanding learning curve that requires a high level of training, skill and dexterity.
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