Robot-assisted right lobe donor hepatectomy.
Recent advances in robotic surgical technology have enabled application to complex surgical procedures. Following extensive institutional experience with major robotic liver resections, we determined that it was safe to apply this technology to right lobe donor hepatectomy (RLDH). The procedure was performed using the Da Vinci Robotic Surgical System, in an entirely minimally invasive fashion, during which the liver graft was safely extracted through a limited lower abdominal incision. Both donor and recipient recovered well, without acute complications. To our knowledge, this is the first case reported in the literature. The technical feasibility of this minimally invasive approach is demonstrated, exemplifying the novel exciting opportunities offered by robotic technology.
Division of Minimally Invasive, General Surgery & Robotic Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Pier Cristoforo
PC
Giulianotti
Ivo
I
Tzvetanov
Hoonbae
H
Jeon
Francesco
F
Bianco
Mario
M
Spaggiari
Jose
J
Oberholzer
Enrico
E
Benedetti
D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000628:therapy; D004867:Equipment Design; D006085:Graft Survival; D006498:Hepatectomy / Q000379:methods*; D006526:Hepatitis C / Q000150:complications; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000628:therapy; D016031:Liver Transplantation / Q000295:instrumentation / Q000379:methods; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation; D012371:Robotics; D014057:Tomography, X-Ray Computed / Q000379:methods