Laparoscopic liver resections at the gates of 2020: a stand-alone field of hepatobiliary surgery

Cipriani, Francesco; Ratti, Francesca; Aldrighetti, Luca

doi:10.21037/hbsn.2019.11.07

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Gradually, MILR has become feasible, safe and efficient for the treatment of both benign and malignant liver diseases, including those requiring complex hepatectomies [8][9][10] . The diffusion has been slow but steady, and thus MILR has become a well-established field of hepatobiliary surgery and is considered a fundamental change in recent years [11] .…”

Section: Introductionmentioning

confidence: 99%

Surgery for hepatocellular carcinoma and intrahepatic cholangiocarcinoma: milestone changes in the last two decades potentially affecting current guidelines

Cipriani¹,

Fornoni²,

Rimini³

et al. 2023

Hepatoma Res

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The aim of this review is to describe the relevance of minimally invasive liver resection (MILR) for the treatment of most common primary liver tumors. The uptake has been slow but steady, and thus MILR has become a well-established field of hepatobiliary surgery and is considered a landmark change of the past 30 years. There is evidence that the advantage of MILR regarding specific complications of liver surgery for HCC (reduced incidence of postoperative hepatic decompensation and ascites) can be a tool to potentially expand the indications to surgical treatment. Evidence for intrahepatic cholangiocarcinoma is early and exploratory; however, it is beginning to be documented that the fundamental principles of surgical oncology for this tumor can be respected while offering patients the advantages of minimal invasiveness.

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Section: Introductionmentioning

confidence: 99%

Surgery for hepatocellular carcinoma and intrahepatic cholangiocarcinoma: milestone changes in the last two decades potentially affecting current guidelines

Cipriani¹,

Fornoni²,

Rimini³

et al. 2023

Hepatoma Res

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“…[1][2][3][4] This evolution has been supported by the progressive technical and technological improvement that occurred over the course of the past 20 years. 5,6 Furthermore, the encouraging outcomes of minimally invasive liver Surgery (MILS) have constituted an incentive for technological investment to overcome technical difficulties initially described in this area. Today it is possible to perform procedures with a high degree of difficulty due to the availability of operating theaters equipped with advanced instrumentation and specifically designed to meet the needs and tasks of liver surgery.…”

Section: Introductionmentioning

confidence: 99%

Robo-Lap Approach Optimizes Intraoperative Outcomes in Robotic Left and Right Hepatectomy

Ratti,

Marino,

Ingallinella

et al. 2023

JSLS

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Background:The aim of the present study is to evaluate the possible advantages of the Robo-Lap (parenchymal transection by laparoscopic ultrasonic dissector and robotic bipolar forceps and scissors) compared with pure robotic technique (parenchymal transection by use of robotic bipolar forceps and scissors) in major anatomical liver resections with specific focus on intraoperative outcomes.Methods: Major liver resections performed by robotic approach between February 1, 2021 and March 31, 2023 were stratified into two groups according to the approach used to address the phase of liver transection; Pure Robotic Group (n 5 21) versus Robo-Lap Group (n 5 48). The two groups were compared in terms of intraand postoperative outcomes and in terms of rate of achievement of intraoperative textbook outcomes.Results: Conversion rate was similar between the two groups while incidence of adverse intraoperative events (according to Satava classification) was higher in the Pure Robotic compared with the Robo-Lap group (85.7% vs 39.6%, p < 0.001). Time to perform parenchymal transection was significantly shorter in the Robo-Lap group (180 min) compared with the Pure Robotic Group (240 min), p 5 0.003. Intraoperative textbook outcomes were achieved in a lower proportion of patients in the Pure Robotic compared with the Robo-Lap group. Conclusion:Outcomes of the present study suggest a favorable role of the Robo-Lap approach in robotic major resections as it allows an improvement of the intraoperative results, a greater probability of an uneventful conduction of the procedure, and therefore, better management of the operating room time.

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Indocyanine green (ICG)-guided robotic resection for liver adenoma: combined technologies for precision surgery

Ingallinella,

Aldrighetti,

Marino

et al. 2024

Updates Surg

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Laparoscopic liver resections at the gates of 2020: a stand-alone field of hepatobiliary surgery

Cited by 3 publications

References 17 publications

Surgery for hepatocellular carcinoma and intrahepatic cholangiocarcinoma: milestone changes in the last two decades potentially affecting current guidelines

Surgery for hepatocellular carcinoma and intrahepatic cholangiocarcinoma: milestone changes in the last two decades potentially affecting current guidelines

Robo-Lap Approach Optimizes Intraoperative Outcomes in Robotic Left and Right Hepatectomy

Indocyanine green (ICG)-guided robotic resection for liver adenoma: combined technologies for precision surgery

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