Roboterassistierte Hemihepatektomie rechts

Croner, Roland S.; Arend, Jörg; Franz, Mareike; Rahimli, Mirhasan; Negrini, Victor Radu; Stockheim, Jessica; Lorenz, Eric; Andric, Mihalo; Perrakis, Aristotelis

doi:10.1055/a-1217-0791

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The robotic trocars were placed in the middle of the abdomen, approx. 15 cm below the costal arch, as described elsewhere [ 24 , 25 ]. The trocars were inserted in the right upper abdomen, to the right and left of the navel, and in the left upper abdomen in a single line.…”

Section: Methodsmentioning

confidence: 99%

Robotic Complete ALPPS (rALPPS)—First German Experiences

Arend,

Franz,

Rose

et al. 2024

Cancers

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Background: ALPPS leads to fast and effective liver hypertrophy. This enables the resection of extended tumors. Conventional ALPPS is associated with high morbidity and mortality. MILS reduces morbidity and the robot adds technical features that make complex procedures safe. Material and Methods: The MD-MILS was screened for patients who underwent rALPPS. Demographic and perioperative data were evaluated retrospectively. Ninety days postoperative morbidity was scored according to the CD classification. The findings were compared with the literature. Results: Since November 2021, five patients have been identified. The mean age and BMI of the patients were 50.0 years and 22.7 kg/m2. In four cases, patients suffered from colorectal liver metastases and, in one case, intrahepatic cholangiocarcinoma. Prior to the first operation, the mean liver volume of the residual left liver was 380.9 mL with a FLR-BWR of 0.677%. Prior to the second operation, the mean volume of the residual liver was 529.8 mL with a FLR-BWR of 0.947%. This was an increase of 41.9% of the residual liver volume. The first and second operations were carried out within 17.8 days. The mean time of the first and second operations was 341.2 min and 440.6 min. The mean hospital stay was 27.2 days. Histopathology showed the largest tumor size of 39 mm in diameter with a mean amount of 4.7 tumors. The mean tumor-free margin was 12.3 mm. One complication CD > 3a occurred. No patient died during the 90-day follow up. Conclusion: In the first German series, we demonstrated that rALPPS can be carried out safely with reduced morbidity and mortality in selected patients.

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Section: Methodsmentioning

confidence: 99%

Robotic Complete ALPPS (rALPPS)—First German Experiences

Arend,

Franz,

Rose

et al. 2024

Cancers

Self Cite

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show abstract

“…Dies betrifft insbesondere die Komplexität von operativen Eingriffen, beispielsweise im Bereich der hepatobiliären Chirurgie. So werden viele, auch technisch schwierige Eingriffe wie beispielsweise Major-Resektionen an der Leber immer häufiger laparoskopisch oder robotisch assistiert mit guten Ergebnissen durchgeführt [1]. Beispielhaft wird in diesem Heft im Rahmen eines Videos dargelegt, wie eine Hemihepatektomie links mittels Glissonean Pedicle Approach sicher durchführbar ist.…”

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Hepatobiliäre Chirurgie

Kalff¹

2023

Zentralbl Chir

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Roboterassistierte Hemihepatektomie rechts

Cited by 2 publications

References 9 publications

Robotic Complete ALPPS (rALPPS)—First German Experiences

Robotic Complete ALPPS (rALPPS)—First German Experiences

Hepatobiliäre Chirurgie

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