Robotic liver resection: Technique and results of 30 consecutive procedures

Gi Hong Choi, Sung Hoon Choi, Sung Hoon Kim, Ho Kyoung Hwang, Chang Moo Kang, Jin Sub Choi, Woo Jung Lee

Research output: Contribution to journalReview article

90 Citations (Scopus)

Abstract

Background: Robotic surgery can enhance a surgeon's laparoscopic skills through a magnified three-dimensional view and instruments with seven degrees of freedom compared to conventional laparoscopy. Methods: This study reviewed a single surgeon's experience of robotic liver resections in 30 consecutive patients, focusing on major hepatectomy. Clinicopathological characteristics and perioperative and short-term outcomes were analyzed. Results: The mean age of the patients was 52.4 years and 14 were male. There were 21 malignant tumors and 9 benign lesions. There were 6 right hepatectomies, 14 left hepatectomies, 4 left lateral sectionectomies, 2 segmentectomies, and 4 wedge resections. The average operating time for the right and left hepatectomies was 724 min (range 648-812) and 518 min (range 315-763), respectively. The average estimated blood loss in the right and left hepatectomies was 629 ml (range 100-1500) and 328 ml (range 150-900), respectively. Four patients (14.8%) received perioperative transfusion. There were two conversions to open surgery (one right hepatectomy and one left hepatectomy). The overall complication rate was 43.3% (grade I, 5; grade II, 2; grade III, 6; grade IV, 0) and 40% in 20 patients who underwent major hepatectomy. Among the six (20.0%) grade III complications, a liver resection-related complication (bile leakage) occurred in two patients. The mean length of hospital stay was 11.7 days (range 5-46). There was no recurrence in the 13 patients with hepatocellular carcinoma during the median follow-up of 11 months (range 5-29). Conclusions: From our experience, robotic liver resection seems to be a feasible and safe procedure, even for major hepatectomy. Robotic surgery can be considered a new advanced option for minimally invasive liver surgery.

Original languageEnglish
Pages (from-to)2247-2258
Number of pages12
JournalSurgical endoscopy
Volume26
Issue number8
DOIs
Publication statusPublished - 2012 Aug

Fingerprint

Robotics
Hepatectomy
Liver
Length of Stay
Conversion to Open Surgery
Minimally Invasive Surgical Procedures
Segmental Mastectomy
Bile
Laparoscopy
Hepatocellular Carcinoma
Recurrence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Choi, G. H., Choi, S. H., Kim, S. H., Hwang, H. K., Kang, C. M., Choi, J. S., & Lee, W. J. (2012). Robotic liver resection: Technique and results of 30 consecutive procedures. Surgical endoscopy, 26(8), 2247-2258. https://doi.org/10.1007/s00464-012-2168-9
Choi, Gi Hong ; Choi, Sung Hoon ; Kim, Sung Hoon ; Hwang, Ho Kyoung ; Kang, Chang Moo ; Choi, Jin Sub ; Lee, Woo Jung. / Robotic liver resection : Technique and results of 30 consecutive procedures. In: Surgical endoscopy. 2012 ; Vol. 26, No. 8. pp. 2247-2258.
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abstract = "Background: Robotic surgery can enhance a surgeon's laparoscopic skills through a magnified three-dimensional view and instruments with seven degrees of freedom compared to conventional laparoscopy. Methods: This study reviewed a single surgeon's experience of robotic liver resections in 30 consecutive patients, focusing on major hepatectomy. Clinicopathological characteristics and perioperative and short-term outcomes were analyzed. Results: The mean age of the patients was 52.4 years and 14 were male. There were 21 malignant tumors and 9 benign lesions. There were 6 right hepatectomies, 14 left hepatectomies, 4 left lateral sectionectomies, 2 segmentectomies, and 4 wedge resections. The average operating time for the right and left hepatectomies was 724 min (range 648-812) and 518 min (range 315-763), respectively. The average estimated blood loss in the right and left hepatectomies was 629 ml (range 100-1500) and 328 ml (range 150-900), respectively. Four patients (14.8{\%}) received perioperative transfusion. There were two conversions to open surgery (one right hepatectomy and one left hepatectomy). The overall complication rate was 43.3{\%} (grade I, 5; grade II, 2; grade III, 6; grade IV, 0) and 40{\%} in 20 patients who underwent major hepatectomy. Among the six (20.0{\%}) grade III complications, a liver resection-related complication (bile leakage) occurred in two patients. The mean length of hospital stay was 11.7 days (range 5-46). There was no recurrence in the 13 patients with hepatocellular carcinoma during the median follow-up of 11 months (range 5-29). Conclusions: From our experience, robotic liver resection seems to be a feasible and safe procedure, even for major hepatectomy. Robotic surgery can be considered a new advanced option for minimally invasive liver surgery.",
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Choi, GH, Choi, SH, Kim, SH, Hwang, HK, Kang, CM, Choi, JS & Lee, WJ 2012, 'Robotic liver resection: Technique and results of 30 consecutive procedures', Surgical endoscopy, vol. 26, no. 8, pp. 2247-2258. https://doi.org/10.1007/s00464-012-2168-9

Robotic liver resection : Technique and results of 30 consecutive procedures. / Choi, Gi Hong; Choi, Sung Hoon; Kim, Sung Hoon; Hwang, Ho Kyoung; Kang, Chang Moo; Choi, Jin Sub; Lee, Woo Jung.

In: Surgical endoscopy, Vol. 26, No. 8, 08.2012, p. 2247-2258.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Robotic liver resection

T2 - Technique and results of 30 consecutive procedures

AU - Choi, Gi Hong

AU - Choi, Sung Hoon

AU - Kim, Sung Hoon

AU - Hwang, Ho Kyoung

AU - Kang, Chang Moo

AU - Choi, Jin Sub

AU - Lee, Woo Jung

PY - 2012/8

Y1 - 2012/8

N2 - Background: Robotic surgery can enhance a surgeon's laparoscopic skills through a magnified three-dimensional view and instruments with seven degrees of freedom compared to conventional laparoscopy. Methods: This study reviewed a single surgeon's experience of robotic liver resections in 30 consecutive patients, focusing on major hepatectomy. Clinicopathological characteristics and perioperative and short-term outcomes were analyzed. Results: The mean age of the patients was 52.4 years and 14 were male. There were 21 malignant tumors and 9 benign lesions. There were 6 right hepatectomies, 14 left hepatectomies, 4 left lateral sectionectomies, 2 segmentectomies, and 4 wedge resections. The average operating time for the right and left hepatectomies was 724 min (range 648-812) and 518 min (range 315-763), respectively. The average estimated blood loss in the right and left hepatectomies was 629 ml (range 100-1500) and 328 ml (range 150-900), respectively. Four patients (14.8%) received perioperative transfusion. There were two conversions to open surgery (one right hepatectomy and one left hepatectomy). The overall complication rate was 43.3% (grade I, 5; grade II, 2; grade III, 6; grade IV, 0) and 40% in 20 patients who underwent major hepatectomy. Among the six (20.0%) grade III complications, a liver resection-related complication (bile leakage) occurred in two patients. The mean length of hospital stay was 11.7 days (range 5-46). There was no recurrence in the 13 patients with hepatocellular carcinoma during the median follow-up of 11 months (range 5-29). Conclusions: From our experience, robotic liver resection seems to be a feasible and safe procedure, even for major hepatectomy. Robotic surgery can be considered a new advanced option for minimally invasive liver surgery.

AB - Background: Robotic surgery can enhance a surgeon's laparoscopic skills through a magnified three-dimensional view and instruments with seven degrees of freedom compared to conventional laparoscopy. Methods: This study reviewed a single surgeon's experience of robotic liver resections in 30 consecutive patients, focusing on major hepatectomy. Clinicopathological characteristics and perioperative and short-term outcomes were analyzed. Results: The mean age of the patients was 52.4 years and 14 were male. There were 21 malignant tumors and 9 benign lesions. There were 6 right hepatectomies, 14 left hepatectomies, 4 left lateral sectionectomies, 2 segmentectomies, and 4 wedge resections. The average operating time for the right and left hepatectomies was 724 min (range 648-812) and 518 min (range 315-763), respectively. The average estimated blood loss in the right and left hepatectomies was 629 ml (range 100-1500) and 328 ml (range 150-900), respectively. Four patients (14.8%) received perioperative transfusion. There were two conversions to open surgery (one right hepatectomy and one left hepatectomy). The overall complication rate was 43.3% (grade I, 5; grade II, 2; grade III, 6; grade IV, 0) and 40% in 20 patients who underwent major hepatectomy. Among the six (20.0%) grade III complications, a liver resection-related complication (bile leakage) occurred in two patients. The mean length of hospital stay was 11.7 days (range 5-46). There was no recurrence in the 13 patients with hepatocellular carcinoma during the median follow-up of 11 months (range 5-29). Conclusions: From our experience, robotic liver resection seems to be a feasible and safe procedure, even for major hepatectomy. Robotic surgery can be considered a new advanced option for minimally invasive liver surgery.

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U2 - 10.1007/s00464-012-2168-9

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