中文｜English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 37 Issue 11
Nov.  2021
Turn off MathJax
Article Contents
Article Navigation >  Journal of Clinical Hepatology  > 2021  >  37(11): 2732-2736

Current status of the application of robot-assisted laparoscopic hepatectomy

DOI: 10.3969/j.issn.1001-5256.2021.11.054

  • Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, China

  • Received Date: 2021-03-17
  • Accepted Date: 2021-04-12
  • Published Date: 2021-11-20
    Abstract
  • Robot-assisted laparoscopy hepatectomy (RALH) is a new technique for surgical operation. Compared with conventional laparoscopic hepatectomy, RALH is more frequently used in complex liver tumor and liver tumor with special locations, but this technique is still under development and is limited by the burden of high costs and surgical devices. Meanwhile, there is a lack of generally accepted and confirmed clinical data, and therefore, the role of RALH is still under debate. This article reviews the surgical indication, learning curve, advantages, and limitations of RALH.

     

    • FullText(HTML)
  • loading
    • References(56)
  • [1]
    MARCHESE U, ALLARD MA, TOBOME R, et al. Middle and left hepatic vein trunk control during laparoscopic liver resection (with video)[J]. Surg Endosc, 2021, 35(3): 1476-1481. DOI: 10.1007/s00464-020-08116-z.
    [2]
    XIAO L, LI JW, ZHENG SG. Cranial-dorsal approach along the middle hepatic vein facilitating laparoscopic left hemihepatectomy[J]. J Gastrointest Surg, 2021, 25(3): 868-869. DOI: 10.1007/s11605-020-04830-0.
    [3]
    ZIOGAS IA, GIANNIS D, ESAGIAN SM, et al. Laparoscopic versus robotic major hepatectomy: A systematic review and meta-analysis[J]. Surg Endosc, 2021, 35(2): 524-535. DOI: 10.1007/s00464-020-08008-2.
    [4]
    GIULIANOTTI PC, CORATTI A, ANGELINI M, et al. Robotics in general surgery: Personal experience in a large community hospital[J]. Arch Surg, 2003, 138(7): 777-784. DOI: 10.1001/archsurg.138.7.777.
    [5]
    KINGHAM TP, LEUNG U, KUK D, et al. Robotic liver resection: A case-matched comparison[J]. World J Surg, 2016, 40(6): 1422-1428. DOI: 10.1007/s00268-016-3446-9.
    [6]
    JI WB, WANG HG, ZHAO ZM, et al. Robotic-assisted laparoscopic anatomic hepatectomy in China: Initial experience[J]. Ann Surg, 2011, 253(2): 342-348. DOI: 10.1097/SLA.0b013e3181ff4601.
    [7]
    LAI EC, YANG GP, TANG CN. Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: Short-term outcome[J]. Am J Surg, 2013, 205(6): 697-702. DOI: 10.1016/j.amjsurg.2012.08.015.
    [8]
    TSUNG A, GELLER DA, SUKATO DC, et al. Robotic versus laparoscopic hepatectomy: A matched comparison[J]. Ann Surg, 2014, 259(3): 549-555. DOI: 10.1097/SLA.0000000000000250.
    [9]
    GOH B, LEE LS, LEE SY, et al. Initial experience with robotic hepatectomy in Singapore: Analysis of 48 resections in 43 consecutive patients[J]. ANZ J Surg, 2019, 89(3): 201-205. DOI: 10.1111/ans.14417.
    [10]
    LIU R, WAKABAYASHI G, KIM HJ, et al. International consensus statement on robotic hepatectomy surgery in 2018[J]. World J Gastroenterol, 2019, 25(12): 1432-1444. DOI: 10.3748/wjg.v25.i12.1432.
    [11]
    BECKER F, MORGVL H, KATOU S, et al. Robotic liver surgery - current standards and future perspectives[J]. Z Gastroenterol, 2021, 59(1): 56-62. DOI: 10.1055/a-1329-3067.
    [12]
    MONTALTI R, BERARDI G, PATRITI A, et al. Outcomes of robotic vs laparoscopic hepatectomy: A systematic review and meta-analysis[J]. World J Gastroenterol, 2015, 21(27): 8441-8451. DOI: 10.3748/wjg.v21.i27.8441.
    [13]
    RAHIMLI M, PERRAKIS A, SCHELLERER V, et al. Robotic and laparoscopic liver surgery for colorectal liver metastases: An experience from a German Academic Center[J]. World J Surg Oncol, 2020, 18(1): 333. DOI: 10.1186/s12957-020-02113-1.
    [14]
    NOTA CL, RINKES I, HAGENDOORN J. Setting up a robotic hepatectomy program: A Western-European experience and perspective[J]. Hepatobiliary Surg Nutr, 2017, 6(4): 239-245. DOI: 10.21037/hbsn.2016.12.05.
    [15]
    XOURAFAS D, PAWLIK TM, CLOYD JM. Early morbidity and mortality after minimally invasive liver resection for hepatocellular carcinoma: A propensity-score matched comparison with open resection[J]. J Gastrointest Surg, 2019, 23(7): 1435-1442. DOI: 10.1007/s11605-018-4016-2.
    [16]
    MAGISTRI P, ASSIRATI G, BALLARIN R, et al. Major robotic hepatectomies: Technical considerations[J]. Updates Surg, 2021, 73(3): 989-997. DOI: 10.1007/s13304-020-00940-1.
    [17]
    ZHAO ZM, YIN ZZ, PAN LC, et al. Robotic anatomic isolated complete caudate lobectomy: Left-side approach and techniques[J]. Asian J Surg, 2021, 44(1): 269-274. DOI: 10.1016/j.asjsur.2020.07.011.
    [18]
    LAFARO KJ, STEWART C, FONG A, et al. Robotic liver resection[J]. Surg Clin North Am, 2020, 100(2): 265-281. DOI: 10.1016/j.suc.2019.11.003.
    [19]
    GUERRA F, DI MARINO M, CORATTI A. Robotic surgery of the liver and biliary tract[J]. J Laparoendosc Adv Surg Tech A, 2019, 29(2): 141-146. DOI: 10.1089/lap.2017.0628.
    [20]
    SUCANDY I, GRAVETZ A, ROSS S, et al. Technique of robotic left hepatectomy: How we approach it[J]. J Robot Surg, 2019, 13(2): 201-207. DOI: 10.1007/s11701-018-0890-6.
    [21]
    FERNANDES E, ELLI E, GIULIANOTTI P. The role of the dual console in robotic surgical training[J]. Surgery, 2014, 155(1): 1-4. DOI: 10.1016/j.surg.2013.06.023.
    [22]
    BUCHS NC, PUGIN F, VOLONTÉ F, et al. Learning tools and simulation in robotic surgery: State of the art[J]. World J Surg, 2013, 37(12): 2812-2819. DOI: 10.1007/s00268-013-2065-y.
    [23]
    CHEN PD, WU CY, HU RH, et al. Robotic major hepatectomy: Is there a learning curve?[J]. Surgery, 2017, 161(3): 642-649. DOI: 10.1016/j.surg.2016.09.025.
    [24]
    MAGISTRI P, GUERRINI GP, BALLARIN R, et al. Improving outcomes defending patient safety: The learning journey in robotic liver resections[J]. Biomed Res Int, 2019, 2019: 1835085. DOI: 10.1155/2019/1835085.
    [25]
    CHANDARANA M, PATKAR S, TAMHANKAR A, et al. Robotic resections in hepatobiliary oncology - initial experience with Xi da Vinci system in India[J]. Indian J Cancer, 2017, 54(1): 52-55. DOI: 10.4103/ijc.IJC_132_17.
    [26]
    HU L, YAO L, LI X, et al. Effectiveness and safety of robotic-assisted versus laparoscopic hepatectomy for liver neoplasms: A meta-analysis of retrospective studies[J]. Asian J Surg, 2018, 41(5): 401-416. DOI: 10.1016/j.asjsur.2017.07.001.
    [27]
    LEE W, HAN HS, YOON YS, et al. Comparison of laparoscopic liver resection for hepatocellular carcinoma located in the posterosuperior segments or anterolateral segments: A case-matched analysis[J]. Surgery, 2016, 160(5): 1219-1226. DOI: 10.1016/j.surg.2016.05.009.
    [28]
    TEO JY, KAM JH, CHAN CY, et al. Laparoscopic liver resection for posterosuperior and anterolateral lesions-a comparison experience in an Asian centre[J]. Hepatobiliary Surg Nutr, 2015, 4(6): 379-390. DOI: 10.3978/j.issn.2304-3881.2015.06.06.
    [29]
    CHERRICK GR, STEIN SW, LEEVY CM, et al. Indocyanine green: observations on its physical properties, plasma decay, and hepatic extraction[J]. J Clin Invest, 1960, 39: 592-600. DOI: 10.1172/JCI104072.
    [30]
    GIULIANOTTI PC, BIANCO FM, DASKALAKI D, et al. Robotic liver surgery: Technical aspects and review of the literature[J]. Hepatobiliary Surg Nutr, 2016, 5(4): 311-321. DOI: 10.21037/hbsn.2015.10.05.
    [31]
    LI CG, ZHOU ZP, TAN XL, et al. Robotic resection of liver focal nodal hyperplasia guided by indocyanine green fluorescence imaging: A preliminary analysis of 23 cases[J]. World J Gastrointest Oncol, 2020, 12(12): 1407-1415. DOI: 10.4251/wjgo.v12.i12.1407.
    [32]
    HINDS S, JAEGER HA, BURKE R, et al. An open electromagnetic tracking framework applied to targeted liver tumour ablation[J]. Int J Comput Assist Radiol Surg, 2019, 14(9): 1475-1484. DOI: 10.1007/s11548-019-01983-5.
    [33]
    SOLER L, NICOLAU S, PESSAUX P, et al. Real-time 3D image reconstruction guidance in liver resection surgery[J]. Hepatobiliary Surg Nutr, 2014, 3(2): 73-81. DOI: 10.3978/j.issn.2304-3881.2014.02.03.
    [34]
    MELSTROM LG, WARNER SG, WOO Y, et al. Selecting incision-dominant cases for robotic liver resection: Towards outpatient hepatectomy with rapid recovery[J]. Hepatobiliary Surg Nutr, 2018, 7(2): 77-84. DOI: 10.21037/hbsn.2017.05.05.
    [35]
    MONTALTI R, SCUDERI V, PATRITI A, et al. Robotic versus laparoscopic resections of posterosuperior segments of the liver: A propensity score-matched comparison[J]. Surg Endosc, 2016, 30(3): 1004-1013. DOI: 10.1007/s00464-015-4284-9.
    [36]
    AHMAD A, AHMAD ZF, CARLETON JD, et al. Robotic surgery: Current perceptions and the clinical evidence[J]. Surg Endosc, 2017, 31(1): 255-263. DOI: 10.1007/s00464-016-4966-y.
    [37]
    IKEGAMI T, SHIMADA M, IMURA S, et al. Argon gas embolism in the application of laparoscopic microwave coagulation therapy[J]. J Hepatobiliary Pancreat Surg, 2009, 16(3): 394-398. DOI: 10.1007/s00534-008-0039-5.
    [38]
    BAN D, ISHIKAWA Y, TANABE M. Can robotic liver resection compensate for weaknesses of the laparoscopic approach?[J]. Hepatobiliary Surg Nutr, 2020, 9(3): 385-387. DOI: 10.21037/hbsn.2019.11.02.
    [39]
    WU CY, CHEN PD, CHOU WH, et al. Is robotic hepatectomy cost-effective? In view of patient-reported outcomes[J]. Asian J Surg, 2019, 42(4): 543-550. DOI: 10.1016/j.asjsur.2018.12.010.
    [40]
    DASKALAKI D, GONZALEZ-HEREDIA R, BROWN M, et al. Financial impact of the robotic approach in liver surgery: A comparative study of clinical outcomes and costs between the robotic and open technique in a single institution[J]. J Laparoendosc Adv Surg Tech A, 2017, 27(4): 375-382. DOI: 10.1089/lap.2016.0576.
    [41]
    WAKABAYASHI GO, CHERQUI D, GELLER DA, et al. Recommendations for laparoscopic liver resection: A report from the second international consensus conference held in Morioka[J]. Ann Surg, 2015, 261(4): 619-29. DOI: 10.1097/SLA.0000000000001180.
    [42]
    CASCIOLA L, PATRITI A, CECCARELLI G, et al. Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments[J]. Surg Endosc, 2011, 25(12): 3815-3824. DOI: 10.1007/s00464-011-1796-9.
    [43]
    GUAN R, CHEN Y, YANG K, et al. Clinical efficacy of robot-assisted versus laparoscopic liver resection: A meta analysis[J]. Asian J Surg, 2019, 42(1): 19-31. DOI: 10.1016/j.asjsur.2018.05.008.
    [44]
    ZHANG L, YUAN Q, XU Y, et al. Comparative clinical outcomes of robot-assisted liver resection versus laparoscopic liver resection: A meta-analysis[J]. PLoS One, 2020, 15(10): e0240593. DOI: 10.1371/journal.pone.0240593.
    [45]
    FRUSCIONE M, PICKENS R, BAKER EH, et al. Robotic-assisted versus laparoscopic major liver resection: Analysis of outcomes from a single center[J]. HPB (Oxford), 2019, 21(7): 906-911. DOI: 10.1016/j.hpb.2018.11.011.
    [46]
    CHOI SB, PARK JS, KIM JK, et al. Early experiences of robotic-assisted laparoscopic liver resection[J]. Yonsei Med J, 2008, 49(4): 632-638. DOI: 10.3349/ymj.2008.49.4.632.
    [47]
    CHOI GH, CHOI SH, KIM SH, et al. Robotic liver resection: Technique and results of 30 consecutive procedures[J]. Surg Endosc, 2012, 26(8): 2247-2258. DOI: 10.1007/s00464-012-2168-9.
    [48]
    LEE KF, CHEUNG YS, CHONG CC, et al. Laparoscopic and robotic hepatectomy: Experience from a single centre[J]. ANZ J Surg, 2016, 86(3): 122-126. DOI: 10.1111/ans.13339.
    [49]
    ZHAO ZM. Application and prospect of da Vinci robot in hepatopancreatobiliary surgery[J]. J Clin Hepatol, 2020, 36(12): 2659-2662. DOI: 10.3969/j.issn.1001-5256.2020.12.005.

    赵之明. 达芬奇机器人在肝胆胰外科手术中的应用与前景[J]. 临床肝胆病杂志, 2020, 36(12): 2659-2662. DOI: 10.3969/j.issn.1001-5256.2020.12.005.
    [50]
    Development Committee of Clinical Practice Guidelines for Robotic Hepatopancreatobiliary Surgery. Clinical practice guidelines for robotic hepatopancreatobiliary surgery[J]. J Clin Hepatol, 2019, 35(7): 1459-1471. DOI: 10.3969/j.issn.1001-5256.2019.07.009.

    《机器人肝胆胰手术操作指南》制定委员会. 机器人肝胆胰手术操作指南[J]. 临床肝胆病杂志, 2019, 35(7): 1459-1471. DOI: 10.3969/j.issn.1001-5256.2019.07.009.
    [51]
    CHOI GH, CHONG JU, HAN DH, et al. Robotic hepatectomy: The Korean experience and perspective[J]. Hepatobiliary Surg Nutr, 2017, 6(4): 230-238. DOI: 10.21037/hbsn.2017.01.14.
    [52]
    ZHANG W, CHEN XP. Application of robotic surgical system in hepatic surgery[J]. Chin J Dig Surg, 2021, 20(2): 143-148. DOI: 10.3760/cma.j.cn115610-20210120-00035.

    张伟, 陈孝平. 机器人手术系统在肝脏外科中的应用[J]. 中华消化外科杂志, 2021, 20(2): 143-148. DOI: 10.3760/cma.j.cn115610-20210120-00035.
    [53]
    GOH B, TEO JY, LEE SY, et al. Critical appraisal of the impact of individual surgeon experience on the outcomes of laparoscopic liver resection in the modern era: Collective experience of multiple surgeons at a single institution with 324 consecutive cases[J]. Surg Endosc, 2018, 32(4): 1802-1811. DOI: 10.1007/s00464-017-5864-7.
    [54]
    FAHRNER R, RAUCHFUβ F, BAUSCHKE A, et al. Robotic hepatic surgery in malignancy: Review of the current literature[J]. J Robot Surg, 2019, 13(4): 533-538. DOI: 10.1007/s11701-019-00939-w.
    [55]
    GONZALEZ-CICCARELLI LF, QUADRI P, DASKALAKI D, et al. Robotic approach to hepatobiliary surgery[J]. Chirurg, 2017, 88(Suppl 1): 19-28. DOI: 10.1007/s00104-016-0223-0.
    [56]
    CORTOLILLO N, PATEL C, PARRECO J, et al. Nationwide outcomes and costs of laparoscopic and robotic vs. open hepatectomy[J]. J Robot Surg, 2019, 13(4): 557-565. DOI: 10.1007/s11701-018-0896-0.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Get Citation
    PDF
    XML

    Article Metrics

    Article views (583) PDF downloads(39) Cited by()
    Proportional views
    Related
        

    The first journal specializing in hepatobiliary and pancreatic diseases in China

    Supervisor：Ministry of Education of the People's Republic of China

    Sponsor：Jilin University

    Academic Support: Chinese Society of Hepatology，Chinese Medical Association

    Address: 461 Xinjiang Road, Changchun

    Submit：0431-88782044

    Peer review：0431-88783542

    Email：lcgdb@vip.163.com

    About Journal

    Submission Guideline

    Journal Online

    Hepatobiliary College

    Guidelines

    YesterdayIP[]YesterdayPV[]TodayIP[]TodayPV[]Online[]

    Website Design © 2020 Editorial Board of Journal of Clinical Hepatology 吉ICP备10000617号-1 Supported by: Beijing Renhe Information Technology Co. Ltd  

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return