Robotic anatomical right hepatectomy for metastatic clear cell carcinoma. Standardized approach using robotic platform
Year: 2025
Type: article
Study design: Case Report
Abstract: Introduction Minimally invasive robotic technique is gaining popularity due to its technical advantages when compared with conventional laparoscopy. Minimally invasive major hepatic lobectomy, especially for the right side, however, remains a technically demanding procedure and requires extensive training to ensure safety and efficacy [1-4]. Herein, we describe our standardized technical approach for anatomical right hepatectomy using robotic platform. Methods An 81-year-old woman presented with a single 9cm urothelial carcinoma liver metastasis to the right hepatic lobe. PET scan shows a large-sized hypermetabolic tumor with no evidence of other lesion or extrahepatic disease. After confirmation of tumor resectability, a right anatomical hepatic lobectomy is needed to gain oncological clearance. Hepatic inflow control was obtained by ligation of right hepatic artery and portal vein. Detailed technical operative steps are shown in the multimedia video attached to this paper. Results Total operative time was 240minutes, with an estimated blood loss of 75mL. The patient had an uneventful postoperative recovery and she was discharged on postoperative day 4. Pathologic evaluation revealed a 9.0cm metastatic urothelial carcinoma with negative resection margins margins. Currently, she is two years from the operation without any evidence of disease recurrence. Conclusion This video highlights safe and effective practical steps in performing robotic anatomical right hepatic lobectomy.
Source: Surgical Oncology Insight
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $2,300
Funder: Intuitive Surgical
OpenAlex ID: W4417050485