Rojas Aram, Paterakos Pierce, Hays Sarah, Hogg Melissa E
Department of Surgery, Division of HPB Surgery, NorthShore University HealthSystem, Evanston, IL, USA.
Am Surg. 2025 Jul;91(7):1213-1214. doi: 10.1177/00031348251339527. Epub 2025 Apr 29.
The management of colorectal liver metastases has seen significant advancements over the past decade. These advancements include improved imaging techniques such as intraoperative ultrasound, new chemotherapy drugs and routes of administration, immunotherapy, and novel surgical approaches. Although the utilization of robotic surgery in hepatopancreatobiliary (HPB) surgery has increased, its application in liver metastasis surgery remains an area of exploration. This video aims to showcase the feasibility and benefits of minimally invasive surgery in managing colorectal liver metastasis cases. Presented here is a 77-year-old man who underwent robotic surgery for the management of synchronous metastatic colorectal cancer. Unfortunately, during surveillance, a liver mass located in segment 5 was found. The patient subsequently underwent a robotic wedge resection. The minimally invasive approach holds great promise in enhancing surgical outcomes and patient care. Further research and advancements in this field will undoubtedly contribute to its wider adoption and continued success.
在过去十年中，结直肠癌肝转移的治疗取得了显著进展。这些进展包括改进的成像技术，如术中超声、新的化疗药物和给药途径、免疫疗法以及新颖的手术方法。尽管机器人手术在肝胰胆（HPB）手术中的应用有所增加，但其在肝转移手术中的应用仍处于探索阶段。本视频旨在展示微创手术在处理结直肠癌肝转移病例中的可行性和益处。这里介绍的是一位77岁男性，他接受了机器人手术以治疗同步性转移性结直肠癌。不幸的是，在监测过程中，发现了位于5段的肝脏肿块。该患者随后接受了机器人楔形切除术。微创方法在提高手术效果和患者护理方面具有巨大潜力。该领域的进一步研究和进展无疑将有助于其更广泛的应用和持续成功。
