title: Our initial experience with robotic hepato-biliary-pancreatic surgery.
abstract: BACKGROUND
  The authors performed Asia's first robotic surgery in March 2000 and a clinical trial was launched in the following year in order to obtain governmental approval for the da Vinci(®) Surgical System.
  
  
  METHODS
  Fifty-two robotic surgeries were performed at Keio University Hospital, of which the authors performed 28 hepato-biliary-pancreatic surgeries.
  
  
  RESULTS
  In robotic laparoscopic cholecystectomy, articulated monopolar electrocautery scalpels are flexible, enabling precise dissection around the gall bladder and clipless ligation of the cystic artery and cystic ducts. For laparoscopic hepatectomy, hepatic parenchyma was safely resected without hemorrhage by Glisson's pedicles ligation and bipolar hemostatic forceps.
  
  
  CONCLUSIONS
  We review robotic laparoscopic cholecystectomy and hepatectomy and discuss the potential and future outlook for robotic hepato-biliary-pancreatic surgery.
authors.affiliation: Department of Surgery, Keio University School of Medicine, Tokyo, Japan. gowaka@iwate-med.ac.jp
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
authors.forename: Akira
authors.initials: A
authors.lastname: Sasaki
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nishizuka
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Furukawa
authors.forename: Masaki
authors.initials: M
authors.lastname: Kitajima
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005705:Gallbladder Diseases / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008107:Liver Diseases / Q000601:surgery*; D012371:Robotics; D016896:Treatment Outcome