Robotic donor hepatectomy:a niche advancement or the way forward?A perspective from the world’s largest center
作者机构：Department of SurgeryDivision of TransplantationUniversity of Washington Medical CenterSeattleWA 98195USA Department of Liver and Small Bowel Transplantation&HPB SurgeryOrgan Transplant CenterKing Faisal Specialist Hospital and Research CenterRiyadh 11211Saudi Arabia Al Faisal UniversityRiyadh 11211Saudi Arabia
出 版 物：《Hepatoma Research》 (肝癌研究（英文版）)
年 卷 期：2022年第8卷第1期
页 面：1-8页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Robotic liver surgery robotic living donor hepatectomy minimally invasive donor hepatectomy live donor liver transplant
摘 要：The application of minimally invasive liver surgery(MILS)in the field of living donor hepatectomy has been exceedingly slow,and its impact is limited to a handful of centers *** adoption has been primarily hampered by the technical limitations of laparoscopy,namely rigid instrumentation,suboptimal optics,and a seemingly steep learning *** deficiencies are magnified in the donor hepatectomy operation wherein the parenchyma and vasculature must be handled atraumatically to produce a pristine allograft fit for *** safety concerns and medicolegal ramifications are also cited as impediments to MILS in donor *** 2013,our institution embraced a purely laparoscopic approach to living donor left lateral sectionectomy,and it quickly became our default ***,with donor hemi-hepatectomy,we gravitated to the robotic surgical system as our preferred ***,we describe our experience with minimally invasive donor hepatectomy,which we now universally offer to all living *** extensive familiarity with robotic donor hepatectomy will provide the reader with an instructive perspective on the attributes and merits of the robotic *** appropriate collaboration and proctorship,we believe that the robotic platform will actualize a more rapid and widespread adoption than that experienced with the purely laparoscopic technique.
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