title: [Robotic approach to hepatobiliary surgery. German version].
abstract: Robot-assisted hepatobiliary surgery has been steadily growing in recent years. It represents an alternative to the open and laparoscopic approaches in selected patients. Endowristed instruments and enhanced visualization provide important advantages in terms of selective bleeding control, microsuturing, and dissection. Cholecystectomies and minor hepatectomies are being performed with comparable results to open and laparoscopic surgery. Even complex procedures, such as major and extended hepatectomies, can have excellent outcomes, in expert hands. The addition of indocyanine green fluorescence provides an additional advantage for recognition of the vascular and biliary anatomy. Future innovations will allow for expanding its use and indications. Robotic surgery has become a very important component of modern minimally invasive surgery and the development of new robotic technology will facilitate a broader adoption of this technique.
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Hospital and Health Sciences System, 840 S Wood St, 60612, Chicago, IL, USA.
authors.forename: L F
authors.initials: LF
authors.lastname: Gonzalez-Ciccarelli
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Hospital and Health Sciences System, 840 S Wood St, 60612, Chicago, IL, USA.
authors.forename: P
authors.initials: P
authors.lastname: Quadri
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Hospital and Health Sciences System, 840 S Wood St, 60612, Chicago, IL, USA.
authors.forename: D
authors.initials: D
authors.lastname: Daskalaki
authors.affiliation: Brooklyn Hospital Center, Brooklyn, NY, USA.
authors.forename: L
authors.initials: L
authors.lastname: Milone
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Hospital and Health Sciences System, 840 S Wood St, 60612, Chicago, IL, USA.
authors.forename: A
authors.initials: A
authors.lastname: Gangemi
authors.affiliation: Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois Hospital and Health Sciences System, 840 S Wood St, 60612, Chicago, IL, USA. piercg@uic.edu.
authors.forename: P C
authors.initials: PC
authors.lastname: Giulianotti
mesh_terms: D002763:Cholecystectomy / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D006498:Hepatectomy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007208:Indocyanine Green; D065287:Robotic Surgical Procedures / Q000295:instrumentation* / Q000379:methods*; D013525:Surgical Instruments
chemical_list: D007208:Indocyanine Green
keywords: Biliary surgery; Hepatobiliary surgery; Indocyanine green fluorescence; Liver surgery; Robotic surgical procedures