Conticchio Maria, Delvecchio Antonella, Ferraro Valentina, Stasi Matteo, Casella Annachiara, Filippo Rosalinda, Tedeschi Michele, Memeo Riccardo
Unit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, Bari, Italy.
Int J Med Robot. 2023 Dec;19(6):e2551. doi: 10.1002/rcs.2551. Epub 2023 Jul 18.
Since its introduction 2 decades ago, robotics has been increasingly used for resection of benign and malignant liver lesions. The robotic platform seems to preserve minimally invasive approach benefits, overcoming laparoscopy limitations. Robotic right liver mobilisation represents a key step for many robotic resections from non-anatomical resections of posterosuperior segments to right hepatectomy.
We present here a standardized technique of right hepatic lobe mobilisation including technical steps and videos. Robotic resection provide all benefits of minimally invasive approaches in terms of preserving abdominal wall, early alimentation, reduced respiratory stress, associated with more ergonomic conditions for surgeon.
We present our standardized and feasible right liver lobe mobilisation needed for posterosuperior resections to the right hepatectomy.
The standardisation of right liver lobe represented our aim to provide a safe and reproducible initial step for many procedures to reduce the conversion rate and to improve the learning curve in young surgeons.
自20年前引入以来，机器人技术在良性和恶性肝脏病变切除中的应用越来越广泛。机器人平台似乎保留了微创方法的优势，克服了腹腔镜手术的局限性。机器人辅助右肝游离是许多机器人手术的关键步骤，从后上段的非解剖性切除到右肝切除术。
我们在此介绍一种标准化的右肝叶游离技术，包括技术步骤和视频。机器人手术在保留腹壁、早期营养支持、减轻呼吸应激方面具有微创方法的所有优点，同时为外科医生提供了更符合人体工程学的条件。
我们展示了后上段切除术至右肝切除术所需的标准化且可行的右肝叶游离方法。
右肝叶游离的标准化是我们的目标，即为许多手术提供一个安全且可重复的初始步骤，以降低中转率并改善年轻外科医生的学习曲线。
