Title : robotic major liver resections analysis of technique and intraoperative hemodynamics.Author : david calatayud, md phd, stefano d¿ugo, md, francesco coratti, md, paolo raimondi, md, federico gheza, md, mario masrur, md, enrique f elli, md, francesco m bianco, md, subashini ayloo, md, pier c giulianotti, md facs.Citation: surg endosc (2012) 26:s249¿s430.Doi 10.1007/s00464-012-2203-x.The objective of this study was to present a series of major liver resections performed by the robotic approach, focusing in the intraoperative data concerning the technical surgical aspects, as well as the hemodynamic management.There were 47 patients (male/female: 24/23) who underwent major liver resections from november 2003 to july 2011 performed in 3 different centers.The mean age of the patients was 57.01 ± 14.98 (sd), with a mean bmi of 27.63 kg/m2 ± 6.8.The harmonic scalpel was the device most frequently used during the parenchymal transection (95.7% of the cases).Postoperative bile leak was reported in 1 patient and was treated endoscopically with an ercp.In conclusion, the authors reported that robot assisted major liver resections seem to be feasible and to have good outcomes.The robotic technology could expand the role of the minimally invasive approach in hepatobiliary surgery.
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