Robotic approach for perihilar cholangiocarcinoma: from Bismuth 1 to vascular resection

Magistri, Paolo; Pang, Ning-Qi; Guidetti, C.; Caracciolo, Daniela; Catellani, Barbara; Guerrini, Gian Piero; Sandro, Stefano Di; Benedetto, Fabrizio Di

doi:10.1016/j.ejso.2023.107002

Cited by 8 publications

(2 citation statements)

References 51 publications

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“…Today the majority of the studies found in the literature consider robotic liver surgery a safe approach and effective approach to liver malignancies as for the laparoscopic approach ( 40 – 43 ). There is wide acceptance among surgeons of the use of robotic surgery in complex cases like in cirrhotic patients or delicate procedures requiring, for example, micro-suturing, vascular resections ( 44 ), or bilio-enteric anastomosis ( 43 , 45 ). However, it’s important to note that standardization of many of the techniques within this approach has not yet been fully realized and no research has provided conclusive guidelines for when to recommend or discourage robotic surgery due to the absence of randomized control trials ( 46 ).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open liver resection for colorectal liver metastasis: an umbrella review

Pinto,

Pangrazio,

Martinino

et al. 2024

Front. Oncol.

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IntroductionThis study comprehensively compared laparoscopic liver resection (LLR) to open liver resection (OLR) in treating colorectal cancer liver metastasis (CRLM).MethodsA systematic review of relevant literature was conducted to assess a range of crucial surgical and oncological outcomes.ResultsFindings indicate that minimally invasive surgery (MIS) did not significantly prolong the duration of surgery compared to open liver resection and notably demonstrated lower blood transfusion rates and reduced intraoperative blood loss. While some studies favored MIS for its lower complication rates, others did not establish a statistically significant difference. One study identified a lower post-operative mortality rate in the MIS group. Furthermore, MIS consistently correlated with shorter hospital stays, indicative of expedited post-operative recovery. Concerning oncological outcomes, while certain meta-analyses reported a lower rate of cancer recurrence in the MIS group, others found no significant disparity. Overall survival and disease-free survival remained comparable between the MIS and open liver resection groups.ConclusionThe analysis emphasizes the potential advantages of LLR in terms of surgical outcomes and aligns with existing literature findings in this field.Systematic review registration[website], identifier [registration number].

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Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open liver resection for colorectal liver metastasis: an umbrella review

Pinto,

Pangrazio,

Martinino

et al. 2024

Front. Oncol.

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“…The use of difficulty scales may help centers to stratify the procedures according to the proficiency of each surgeon in the team, in order to offer to all patients the best outcome possible ( 7 ). We are nowadays experiencing a growth of laparoscopic and robotic experience worldwide, leading to more and more complex cases performed with a minimally invasive approach, including donor hepatectomy, reconstructive surgery, and liver transplantation as well ( 8 - 10 ). Moreover, robotic surgery proved his effectiveness also as a bridging strategy in patients candidate to liver transplantation, compared to other strategies ( 11 , 12 ).…”

mentioning

confidence: 99%

Modern surgical approach to hepatocellular carcinoma

Magistri,

Guerrini,

Di Sandro

et al. 2023

Hepatobiliary Surg Nutr

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Essential updates 2022/2023: A review of current topics in robotic hepatectomy

Adachi,

Hara,

Matsushima

et al. 2024

Annals of Gastroent Surgery

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The liver requires careful handling intra‐operatively owing to its vital functions and complexity. Traditional open hepatectomy, while standard, is invasive and requires long recovery periods. Laparoscopic hepatectomy is a less invasive option, with its own challenges. The rise of robotic surgery, such as the da Vinci® system, improves precision and control, addressing the limitations of conventional methods, but brings new concerns, such as costs and training. This review focuses on the latest advancements in robotic hepatectomy from 2022/23 articles, delving into topics like “robotic surgery in liver transplantation,” “robotic hepatectomy for hilar cholangiocarcinoma,” “robotic vascular reconstruction following hepatectomy,” “robotic repeat hepatectomy,” and “prospective trials in robotic hepatectomy.” To retrieve articles, a focused literature search was conducted using PubMed for articles from 2022/23 with a 5‐year filter, excluding reviews. Initially, abstracts were screened, and relevant articles on robotic surgery were examined in full for inclusion in this review. Although all the above items are cutting‐edge, and many of the references are necessarily at the level of case reports, recent articles are still accompanied by surgical videos, which are useful to readers, especially surgeons who are considering imitating the procedures. In summary, we examined the recent advancements in robotic liver resection. The inclusion of videos that present new techniques aids in knowledge transfer. We anticipate the continued growth of this field of research.

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Robotic approach for perihilar cholangiocarcinoma: from Bismuth 1 to vascular resection

Cited by 8 publications

References 51 publications

Laparoscopic versus open liver resection for colorectal liver metastasis: an umbrella review

Laparoscopic versus open liver resection for colorectal liver metastasis: an umbrella review

Modern surgical approach to hepatocellular carcinoma

Essential updates 2022/2023: A review of current topics in robotic hepatectomy

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