Ann Surg Treat Res.  2024 Feb;106(2):78-84. 10.4174/astr.2024.106.2.78.

Early outcomes of single-port robotic left lateral sectionectomy in patients with hepatic tumor

• Na YH
• Kim WB
• Kang JS
• Choi SB
• Kim WJ

• KMID: 2552388
• DOI: http://doi.org/10.4174/astr.2024.106.2.78

Abstract

Purpose
Laparoscopic left lateral sectionectomy (L-LLS) stands as a cornerstone procedure in hepatobiliary minimal surgery, frequently employed for various benign and malignant liver lesions. This study aimed to analyze the peri- and postoperative surgical outcomes of single-port robotic left lateral sectionectomy (SPR-LLS) vs. those of L-LLS in patients with hepatic tumors.
Methods
From January 2020 through June 2023, 12 patients underwent SPR-LLS. During the same period, 30 L-LLS procedures were performed. In total, 12 patients in the robotic group and 24 patients in the laparoscopic group were matched.
Results
When the SPR-LLS and L-LLS groups were compared, the operation time was longer in the SPR-LLS group with less blood loss and shorter hospital stay. Postoperative complications were observed in 3 patients in the L-LLS group (12.5%) and 1 patient in the SPR-LLS group (8.3%).
Conclusion
SPR-LLS using the da Vinci SP system was comparable to laparoscopic LLS in terms of surgical outcomes. SPR-LLS was associated with lower blood loss and less postoperative length of stay compared to L-LLS. These findings suggest that left lateral sectionectomy is technically feasible and safe with the da Vinci SP system in select patients.

Keyword

Hepatocellular carcinoma; Laparoscopy; Liver disease; Minimally invasive surgical procedures; Robotic surgical procedures

Figure

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  Fig. 1 Intraoperative procedure of the robotic SP left lateral sectionectomy. (A) External view of the docked da Vinci SP system (Intuitive Surgical). (B) Portal pedicles were divided using an endoscopic linear stapler. (C) View of performing Pringle maneuver using transparent silicone tube. (D) A 3-cm skin incision at the umbilicus.

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  Fig. 2 Correlation analysis between operation time and cumulative cases of single-port robotic left lateral sectionectomy (SPR-LLS).

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