Robotic hepatectomies: advances and perspectives.

Abstract:

INTRODUCTION:Over recent years, minimally invasive hepatic resections have increasingly been reported in the literature. Even though hepatic surgery is still considered a challenge for surgeons due to its technical difficulties and high morbidity, the development and spread of robotic surgery has highlighted a new interest, which has induced a rapid dissemination of robotic approaches for hepatic pathologies. This article presents a systematic review of the literature regarding robotic hepatectomy in order to assess the safety and feasibility of robotic hepatic surgery. EVIDENCE ACQUISITION:All eligible studies in robotic liver surgery which were published between January 2001 and January 2016 were reviewed systematically. Only series of ten patients and more were chosen in order to consider the experience of high-volume centers. In case of multiple articles on the same centers, the study including the largest number of patients was considered for the study. Overall, 18 studies, involving a total of 572 robotic liver resection (RLR) were finally analyzed. EVIDENCE SYNTHESIS:All articles in this review demonstrate that robotic liver surgery must be performed by surgeons trained in open liver surgery and skilled in minimally invasive techniques. CONCLUSIONS:RLR and laparoscopic liver resection (LLR) were comparable in terms of safety, feasibility, and outcome for hepatectomies. However, RLR is more expensive than LLR. Further studies are required before any final conclusion can be drawn.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Dehlawi A,Memeo R,DE Blasi V,Mercoli HA,Mutter D,Marescaux J,Pessaux P

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

407-414

issue

6

eissn

0026-4733

issn

1827-1626

pii

R06Y9999N00A16060902

journal_volume

71

pub_type

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