Cañada Trofo Surjan Rodrigo, do Prado Silveira Sergio
Department of Surgery, Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Department of Surgery, Hospital Nove de Julho, São Paulo, São Paulo, Brazil.
Int J Med Robot. 2020 Dec;16(6):1-6. doi: 10.1002/rcs.2152. Epub 2020 Sep 29.
Minimally invasive hepatectomy has well-known advantages over the traditional open approach. Inherent limitations of laparoscopy make major hepatectomies and the resection of upper and posterior segments a great technical challenge. The robotic approach overcomes most of these limitations, and this technology is most useful in the resection of the deeply located caudate lobe.
We describe the robotic caudate lobe resection technical aspects, using the first robotic resection of the caudate lobe to treat a biphenotypic hepatocholangiocarcinoma to illustrate the procedure. We also performed a literature review on the current status of the robotic approach to segment (Sg) 1.
Technical approach to the robotic caudate lobe resection is described in a patient with uneventful post-operative recovery. Literature review demonstrated only four previous authors reporting the use of this technique.
We present a step-by-step approach to the hepatic Sg 1 resection by robotic approach.
与传统开放手术相比，微创肝切除术具有众所周知的优势。腹腔镜手术的固有局限性使得大型肝切除术以及肝上叶和后段的切除成为一项巨大的技术挑战。机器人手术方法克服了这些局限性中的大多数，并且这项技术在深部尾状叶切除术中最有用。
我们描述了机器人尾状叶切除的技术要点，通过首例机器人尾状叶切除术治疗双表型肝内胆管癌来说明该手术过程。我们还对机器人手术治疗肝1段（Sg1）的现状进行了文献综述。
描述了机器人尾状叶切除的技术方法，患者术后恢复顺利。文献综述显示，之前仅有四位作者报道过使用该技术。
我们提出了一种通过机器人手术方法进行肝Sg1切除的分步方法。
