Broering Dieter C, Prosperi Enrico, Raptis Dimitri A
Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, 11211, Riyadh, Saudi Arabia.
Faculty of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Updates Surg. 2024 Sep 18. doi: 10.1007/s13304-024-01932-1.
Robotic donor hepatectomy introduces a new era in living donor liver transplantation (LDLT), combining advancements in minimally invasive surgery with superior precision and ergonomics. The beginning of LDLT in 1989 aimed to address the scarcity of deceased donor livers, a situation intensified by the technical and ethical challenges associated with this procedure. The integration of robotic systems since 2010s has broadened the scope and impact of liver transplantation, enhancing outcomes significantly for both donors and recipients. This review discusses the significant advancements in robotic surgery, the ongoing challenges such as cost and training needs, and the future toward global standardization and the integration of artificial intelligence. As this technology continues to evolve, it holds the potential to become the new global standard, ensuring safer procedures and enhanced outcomes for patients worldwide.
机器人供体肝切除术开创了活体供肝肝移植（LDLT）的新时代，将微创手术的进步与卓越的精准度和人体工程学相结合。1989年开始的LDLT旨在解决已故供体肝脏稀缺的问题，而与该手术相关的技术和伦理挑战加剧了这一情况。自2010年代以来机器人系统的整合拓宽了肝移植的范围和影响，显著改善了供体和受体的手术结果。本综述讨论了机器人手术的重大进展、成本和培训需求等持续存在的挑战，以及朝着全球标准化和人工智能整合发展的未来方向。随着这项技术不断发展，它有可能成为新的全球标准，确保为全球患者提供更安全的手术和更好的手术结果。
