ArticleAnnals of surgery2025
Full Robotic Whole Graft Liver Transplantation: A Step Into The Future.
Article in Annals of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Minimally invasive liver transplantation: technical evolution, evidence maturity, and translational boundaries.Updates in surgery · 2026Review
- Advanced robotic liver surgery.Surgical endoscopy · 2026Review
- Robotic recipient liver transplantation worldwide: a systematic review and meta-analysis of the first 93 patients, from feasibility to early outcomes.EClinicalMedicine · 2026Article
- Robotic liver resection improves self-perception of recovery compared to open approach in a quality-of-life survey.Updates in surgery · 2026Article
- Full robotic liver transplantation in recipients: a narrative review of three competing surgical strategies.Journal of robotic surgery · 2026Review
- Anaesthesiological and perioperative aspects of fully robotic versus open liver transplantation: a matched case-control study.Journal of anesthesia, analgesia and critical care · 2026Article
- Anesthesia for the First Fully Robotic Simultaneous Living Donor Liver Transplant in Europe.Cureus · 2026Article
- Achievements, Challenges and Promises of Minimally Invasive Liver Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2026Review
- Robotic superior mesenteric and portal vein resections in major liver, biliary, and pancreatic surgery.Updates in surgery · 2025Article
- [Advances in minimally invasive surgical techniques for liver transplant recipients].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025Review
- Novel Surgical Technique of Liver Parenchyma Transection During Robotic-Assisted Liver Resection: "Trac & Pac".Journal of hepato-biliary-pancreatic sciences · 2025Article
- A Foreword.Updates in surgery · 2025Article
- Key steps of complex robotic liver surgery: an international expert survey.Surgical endoscopy · 2025Article
- Full Robotic Whole Graft Liver Transplantation: A Novel Approach.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Challenges and strategies for optimizing liver transplantation outcomes in morbidly obese cirrhotic patients: a narrative review.BMC surgery · 2025Review
- Stepping forward, treading wisely: a crossed frontier in robotic liver transplantation.Hepatobiliary surgery and nutrition · 2025Article
- Anesthesia management for total robotic liver transplantation: Inaugural case series in Europe.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Article
- Minimally Invasive Liver Transplantation: The Recipient Operation.Journal of clinical and experimental hepatologyReview
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report the first European series of full robotic whole liver transplantation (RLT) with technical details and future perspectives.
backgroundFew cases of liver transplantation with a minimally invasive approach using partial grafts have been reported so far, and no cases of robotic whole liver transplantation have been reported in the scientific literature.
methodsThe adopted technique was full robotic liver hepatectomy, followed by robotic implantation after graft introduction through a small midline incision. Patients presenting with hepatocellular carcinoma in liver cirrhosis with a small caudate lobe, low degree of portal hypertension, no porto-mesenteric thrombosis, as well as low Model for End-Stage Liver Disease patients have been considered ideal candidates.
resultsSix patients underwent RLT between February and March 2024 at Lisbon and Modena University Liver Transplant Centers. Warm ischemia time during RLT ranged between 55 and 90 minutes, with a total surgery duration between 440 and 710 minutes. The median total operative time was 595 (±111.3) minutes. Only 1 recipient had prolonged hyperbilirubinemia, which was safely treated. The median in-hospital stay was 7.5 days (±4.8 d).
conclusionsRLT is a promising technique to further reduce the impact of liver transplantation thanks to smaller incision, gentle tissue manipulation, high magnification and precision for vascular and biliary anastomosis, and reduced postoperative pain. This is the first step toward the demonstration of the feasibility of minimally invasive surgery in liver transplantation, although further selection and technical refinements are needed to improve reproducibility.
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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.