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International consensus statement on robotic hepatectomy surgery in 2018

World Journal of Gastroenterology 2019年第12期25卷 1432-1444页

作者： Rong Liu Go Wakabayashi Hong-Jin Kim Gi-Hong Choi Anusak Yiengpruksawan Yuman Fong Jin He Ugo Boggi Roberto I Troisi Mikhail Efanov Daniel Azoulay Fabrizio Panaro Patrick Pessaux Xiao-Ying Wang Ji-Ye Zhu Shao-Geng Zhang Chuan-Dong Sun Zheng Wu Kai-Shan Tao Ke-Hu Yang Jia Fan Xiao-Ping Chen Second Department of Hepatopancreatobiliary Surgery Chinese People’s Liberation Army (PLA) General Hospital Center for Advanced Treatment of Hepatobiliary and Pancreatic Diseases Ageo Central General Hospital Department of Surgery Yeungnam University Hospital Division of Hepatobiliary Pancreatic Surgery Department of Surgery Yonsei University College of Medicine Minimally Invasive Surgery Division Department of SurgeryFaculty of Medicine Siriraj Hospital Mahidol University Department of Surgery City of Hope Medical Center Department of Surgery the Johns Hopkins Hospital Division of General and Transplant Surgery Pisa University Hospital Department of Clinical Medicine and Surgery Federico II University Department of Hepato-Pancreato-Biliary Surgery Moscow Clinical Scientific Center Hepato-Biliary Center Paul Brousse University Hospital Hepato-Biliary Center Tel Hashomer University Hospital Department of Surgery/Division of HBP Surgery and Transplantation Montpellier University Hospital-School of Medicine Head of the Hepato-biliary and pancreatic surgical unit Nouvel Hopital Civil Department of Liver Surgery and Transplantation Liver Cancer Institute Zhongshan Hospital Fudan University Department of Hepatobiliary Surgery Peking University People’s Hospital Department of Hepatobiliary Surgery 302 Hospital of Chinese PLA Department of Hepatobiliary and Pancreatic Surgery the Affiliated Hospital of Qingdao University Department of Hepatobiliary Surgery the First Affiliated Hospital of Xi’an Jiaotong University Department of Hepatobiliary Surgery Xijing Hospital the Fourth Military Medical University Evidence Based Medicine Center School of Basic Medical Sciences Lanzhou University Hepatic Surgery Center Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

The robotic surgical system has been applied in liver surgery. However,controversies concerns exist regarding a variety of factors including the safety,feasibility, efficacy, and cost-effectiveness of robotic surgery. To promote the development of robotic hepatectomy, this study aimed to evaluate the current status of robotic hepatectomy and provide sixty experts' consensus and recommendations to promote its development. Based on the World Health Organization Handbook for Guideline Development, a Consensus Steering Group and a Consensus Development Group were established to determine the topics, prepare evidence-based documents, and generate recommendations. The GRADE Grid method and Delphi vote were used to formulate the recommendations. A total of 22 topics were prepared analyzed and widely discussed during the 4 meetings. Based on the published articles and expert panel opinion, 7 recommendations were generated by the GRADE method using an evidence-based method, which focused on the safety, feasibility, indication,techniques and cost-effectiveness of hepatectomy. Given that the current evidences were low to very low as evaluated by the GRADE method, further randomized-controlled trials are needed in the future to validate these recommendations.

关键词： Minimally invasive surgery robotic hepatectomy Laparoscopic hepatectomy hepatectomy resection Consensus statement

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robotic liver resection for hepatocellular carcinoma:a new dawn?

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Hepatobiliary Surgery and Nutrition 2024年第5期13卷 845-846页

作者： Charing Ching-ning Chong Division of Hepatobiliary and Pancreatic Surgery Department of SurgeryPrince of Wales HospitalThe Chinese University of Hong KongHong KongChina

I read the article titled“Safety and Efficacy of robotic vs Open Liver Resection for Hepatocellular Carcinoma”,published in JAMA Surgery with great interest(1).This study marks an important milestone in the field of... 详细信息

关键词： robotic liver resection(RLR) robotic hepatectomy hepatocellular carcinoma(HCC)

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Minimum invasive associating liver partition and portal vein ligation for staged hepatectomy

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Laparoscopic, Endoscopic and robotic Surgery 2020年第1期3卷 1-5页

作者： Michal Kawka Tamara M.H.Gall Long R.Jiao Hepato-pancreato-biliary Surgical Unit Department of Surgery&CancerImperial CollegeHammersmith Hospital CampusLondonW120HSUnited Kingdom

Associating liver partition and portal vein ligation for staged hepatectomy(ALPPS)has gained interest,as the potential alternative to portal vein embolisation for inducing future liver remnant hypertrophy in patients at risk of post-hepatectomy liver failure but is associated with high morbidity and *** a result,several variant ALPPS have been reported to reduce ALPPS related morbidity and *** is able to induce more extensive hypertrophy in a shorter time-period than portal vein ***-invasive surgery,which has known benefits with regards to morbidity and mortality,has also been applied to ALPPS,with promising results regarding safety and feasibility and patient *** suggests that both laparoscopic and robot-assisted ALPPS present technically feasible and safe options for ***-invasive ALPPS offers a clear benefit to patients,including reduction of fibrous adhesions,shorter length of hospital stay,and lower ***,the technical difficulty of the procedure still limits its wide application,even to experienced hepato-pancreato-biliary centres.

关键词： ALPPS robotic hepatectomy Laparoscopic hepatectomy Staged liver resection

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robotic surgery in living liver donors and liver recipients

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Laparoscopic, Endoscopic and robotic Surgery 2024年第3期7卷 123-127页

作者： Konstantin Semash Department of Mini-Invasive Surgery National Children’s Medical CenterTashkent 100171Uzbekistan

There have been nearly 60 years since Thomas Starzl’s first liver *** this period,advancements in medical technology have progressively enabled the adoption of new methods for *** these innovations,robotic surgery has emerged in recent decades and is gradually being integrated into transplant *** hepatectomy and liver implantation represent significant advancements in the field of transplant *** precision and minimally invasive nature of robotic surgery offer substantial benefits for both living donors and *** living donors,robotic hepatectomy reduces postoperative pain,minimizes scarring,and accelerates *** liver recipients,robotic liver implantation enhances surgical accuracy,leading to better graft positioning and vascular *** systems provide more precise and maneuverable control of instruments,allowing surgeons to perform complex procedures with greater accuracy and reduced risk to *** review encompasses publications on minimally invasive donor liver surgery,with a specific focus on robotic liver resection in transplantation,and aims to summarize current knowledge and the development status of robotic surgery in liver transplantation,focusing on liver resection in donors and graft implantation in recipients.

关键词： Liver transplantation robotic surgery robotic liver resection robotic hepatectomy robotic liver implantation

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Advances in minimally invasive surgery for hepatocellular carcinoma

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Hepatoma Research 2020年第11期6卷 32-38页

作者： Cun-Zhen Zhang Nan Li Department of Hepatic Surgery Shanghai Eastern Hepatobiliary Surgery HospitalShanghai 200438China

Hepatocellular carcinoma(HCC)is the fifth most common cancer and the third leading cause of cancer-related death *** resection is still regarded as the first choice of treatment for *** advances in technology and techniques,minimally invasive surgery has now become the standard of care in almost every field in general surgery,including hepatectomy *** review focuses on the latest advances in minimally invasive surgical treatment of HCC,including laparoscopic hepatectomy(LH),robotic hepatectomy(RH)and other minimally invasive treatment *** some limitation in LH or RH exists,these minimally invasive techniques may be performed for hepatectomy with benefits,and have a promising *** the development of technology and the improvement of surgical operations,patients will benefit from this.

关键词： Hepatocellular carcinoma minimally invasive surgery laparoscopic hepatectomy robotic hepatectomy

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