Quijano Yolanda, Vicente Emilio, Ielpo Benedetto, Duran Hipolito, Diaz Eduardo, Fabra Isabel, Olivares Sergio, Ferri Valentina, Ortega Irene, Malavé Luis, Ferronetti Antonio, Piccinni Giuseppe, Caruso Riccardo
General Surgery Department, Madrid Norte Sanchinarro San Pablo University Hospital, Madrid, Spain.
Surg Laparosc Endosc Percutan Tech. 2016 Feb;26(1):66-71. doi: 10.1097/SLE.0000000000000227.
The use of robotic surgery in liver resection is still limited. Our aim is to present our early experience of robotic liver resection.
It is a retrospective review of Sanchinarro University hospital experience of robotic liver resection performed from 2011 to 2014. Clinicopathologic characteristics, and perioperative and postoperative outcomes were recorded and analyzed.
Twenty-one procedures have been performed and 13 (65%) of them were for malignancy. There were 2 left hepatectomies, 1 right hepatectomy, 1 associated liver partition and portal vein ligation staged procedure (both steps by robotic approach), 1 bisegmentectomy and 3 segmentectomies, 9 wedge resections, and 3 pericystectomies. The mean operating time was 282 minutes (range, 90 to 540 min). Overall conversion rate and postoperative complication rate were 4.7% and 19%, respectively. The mean length of hospital stay was 13.4 days (range, 4 to 64 d).
From our early experience, robotic liver surgery is a safe and feasible procedure, especially for major hepatectomies.
机器人手术在肝切除术中的应用仍然有限。我们的目的是介绍我们在机器人肝切除方面的早期经验。
这是对圣奇纳罗大学医院2011年至2014年期间进行的机器人肝切除术经验的回顾性研究。记录并分析临床病理特征以及围手术期和术后结果。
共进行了21例手术，其中13例（65%）为恶性肿瘤手术。包括2例左肝切除术、1例右肝切除术、1例联合肝脏分割和门静脉结扎分期手术（两步均采用机器人手术方式）、1例双段切除术、3例段切除术、9例楔形切除术和3例囊肿切除术。平均手术时间为282分钟（范围为90至540分钟）。总体中转率和术后并发症发生率分别为4.7%和19%。平均住院时间为13.4天（范围为4至64天）。
根据我们的早期经验，机器人肝脏手术是一种安全可行的手术，尤其适用于大型肝切除术。
