Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Jan 27, 2022; 14(1): 224-233
Published online Jan 27, 2022. doi: 10.4254/wjh.v14.i1.224
Short-term outcomes of robotic liver resection: An initial single-institution experience
Manuel Durán, Javier Briceño, Ana Padial, Ferdinando Massimiliano Anelli, Juan Manuel Sánchez-Hidalgo, María Dolores Ayllón, Rafael Calleja-Lozano, Carmen García-Gaitan
Manuel Durán, Javier Briceño, Ana Padial, Ferdinando Massimiliano Anelli, Juan Manuel Sánchez-Hidalgo, María Dolores Ayllón, Rafael Calleja-Lozano, Unit of Hepatobiliary Surgery and Liver Transplantation, General and Digestive Surgery Department, Reina Sofia University Hospital, Cordoba 14004, Spain
Manuel Durán, Javier Briceño, Ana Padial, Ferdinando Massimiliano Anelli, María Dolores Ayllón, Rafael Calleja-Lozano, GC18 Translational Research in Surgery of Solid Organ Transplantation, Maimonides Biomedical Research Institute, Córdoba 14004, Spain
Juan Manuel Sánchez-Hidalgo, GE09 Research in Peritoneal and Retroperitoneal Oncological Surgery, Maimonides Biomedical Research Institute, Córdoba 14004, Spain
Carmen García-Gaitan, Department of Anesthesiology and Resuscitation, Reina Sofia University Hospital, Cordoba 14004, Spain
Author contributions: Durán M and Briceño J have contributed equally to this paper; Briceño J was the principal surgeon in all the procedures, guarantor and designed the study; Durán M, Padial A, Anelli FM, Ayllón MD and García- Gaitán C participated in the acquisition, analysis, and interpretation of the data; Calleja-Lozano R and Durán M did the literature review; Durán M drafted the initial manuscript; Briceno J and Sánchez-Hidalgo JM revised the article critically for important intellectual content.
Institutional review board statement: The study was reviewed and approved by Comité de Ética de la Investigación de Córdoba, Hospital Universitario Reina Sofía, España.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Javier Briceño, MD, PhD, Chairman, Unit of Hepatobiliary Surgery and Liver Transplantation, General and Digestive Surgery Department, Reina Sofia University Hospital, Avda. Menéndez Pidal s/n, Cordoba 14004, Spain. javibriceno@hotmail.com
Received: March 26, 2021
Peer-review started: March 26, 2021
First decision: November 11, 2021
Revised: December 2, 2021
Accepted: December 25, 2021
Article in press: December 25, 2021
Published online: January 27, 2022
ARTICLE HIGHLIGHTS
Research perspectives

Future work is required to clarify the role of the robotic approach in complex hepatectomies.

Research conclusions

The implementation of a liver robotic surgery program is safe and feasible with favorable short-term outcomes.

Research results

Forty consecutive patients underwent robotic liver resection between June 2019 and January 2021. Liver resection included: Ten segmentectomies, three wedge resections, ten left lateral sectionectomies, six bisegmentectomies (two V-VI bisegmentectomies and four IVb-V bisegmentectomies), two right anterior sectionectomies, five left hepatectomies and two right hepatectomies.

Research methods

In this study patients were prospectively followed and retrospectively reviewed. The study was conducted according to STROBE statements.

Research objectives

The authors aimed to analyze the outcomes and feasibility of an initial robotic liver surgery program implemented in an experienced laparoscopic hepatobiliary center.

Research motivation

A robotic liver surgery program has been implemented in our center which has significant previous experience in minimally invasive surgery.

Research background

In recent years, minimal invasive liver surgery has notably increased due to its perioperative and postoperative favorable outcomes.