Golriz Mohammad, Flossmann Viktoria, Ramouz Ali, Majlesara Ali, Kulu Yakup, Stojkovic Marija, Mehrabi Arianeb
Department of General, Visceral, and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.
Department of Clinical Tropical Medicine, University of Heidelberg, Heidelberg, Germany.
Front Surg. 2021 Mar 4;8:639304. doi: 10.3389/fsurg.2021.639304. eCollection 2021.
We report a case of successful robot-assisted major liver resection in a patient with liver alveolar echinococcosis (AE). A 62-year-old male patient was incidentally diagnosed with a large infiltrative lesion in the right liver lobe suspicious for AE. A radical surgical resection as a right-sided hemihepatectomy was indicated. The operation was carried out a robotic-assisted procedure using the DaVinci Xi Surgical System. The tumor measured 12.4 × 8.8 cm and was successfully resected through a suprapubic incision of 13 cm. The patient was free of pain after the second post-operative day. A fluid collection near the resection plate was easily drained without bile leakage. The patient had no surgical complications. Radical resection is inevitable for adequate curative therapy of AE and provides clear margins. Robotic surgery is a relatively new and safe option for curative resection of AE lesions, with remarkable advantages for patients and surgeons.
我们报告了一例肝泡型包虫病（AE）患者成功接受机器人辅助肝大部切除术的病例。一名62岁男性患者偶然被诊断出右肝叶有一个大的浸润性病变，怀疑为AE。手术指征为行根治性手术切除，即右侧半肝切除术。手术采用达芬奇Xi手术系统进行机器人辅助操作。肿瘤大小为12.4×8.8 cm，通过13 cm的耻骨上切口成功切除。术后第二天患者即无疼痛。切除面附近的积液易于引流，无胆汁漏出。患者无手术并发症。根治性切除对于AE的充分治愈性治疗是必不可少的，且能提供清晰的切缘。机器人手术是AE病变根治性切除的一种相对较新且安全的选择，对患者和外科医生具有显著优势。
