Clinical Summary of da Vinci Surgery System in Liver Tumor Resection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUXue-qian ,  ZHANGTian ,  DENGXia-xing , PENGCheng-hong , SHENBai-yong , WANGXin-jing , GULei , WENChen-lei

Department of General Surgery, Ruijin Hospital Affiliated to Shanghai Jiaotong University, Shanghai Institute of Digestive Surgery, Shanghai 200025, China;

Corresponding author：

DENGXia-xing, Email: kejiadxx@hotmail.com

Keywords：

da Vinci surgery system; Minimally invasive surgery; Liver tumor; Hepatectomy

DOI：

10.7507/1007-9424.20140034

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To discuss the feasibility, safety, and superiority of da Vinci surgery system (DVSS) in liver tumor resection. Method The clinical data of 21 patients who underwent DVSS in the liver tumor resection were analyzed retrospectively. Results There were 12 patients with hepatocellular carcinoma (HCC), 1 patient with cholang-iocellular carcinoma, 1 patient with hepatic cirrhosis regenerative nodule, 2 patients with metastatic adenocarcinoma, 2 patients with leiomyosarcoma, and 3 patients with cavernous hemangioma.The operative time was (156.67±92.19) min (60-480 min), the intraoperative blood loss was (585.71±1 076.12) mL (50-5 000 mL), the time of diet recovery was (3.23±1.26) d (2-6 d), and the hospital stay was (10.10±9.02) d (5-47 d).The hospital mortality and morbidity rates were 0(0/21) and 9.52%(2/21) respectively including 1 patient with biliary leakage and 1 patient with abdominal infection. Conclusion This study demonstrates the feasibility and safety of DVSS in the liver tumor resection and the system has a wide range of application for patients who are suffering from liver tumor.

Citation： LIUXue-qian, ZHANGTian, DENGXia-xing, PENGCheng-hong, SHENBai-yong, WANGXin-jing, GULei, WENChen-lei. Clinical Summary of da Vinci Surgery System in Liver Tumor Resection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(2): 146-149. doi: 10.7507/1007-9424.20140034 Copy

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1. 吴孟超, 吴在德.外科机器人技术[A]//黄家驷外科学[M].第7版.北京:人民卫生出版社, 2011:229-231.
2. Packiam V, Bartlett DL, Tohme S, et al.Minimally invasive liver resection:robotic versus laparoscopic left lateral sectionectomy[J].J Gastrointest Surg, 2012, 16(12):2233-2238.
3. Giulianotti PC, Tzvetanov I, Jeon H, et al.Robot-assisted right lobe donor hepatectomy[J].Transpl Int, 2012, 25(1):e5-e9.
4. Giulianotti PC, Sbrana F, Coratti A, et al.Totally robotic right hepatectomy:surgical technique and outcomes[J].Arch Surg, 2011, 146(7):844-850.
5. Giulianotti PC, Coratti A, Sbrana F, et al.Robotic liver surgery:results for 70 resections[J].Surgery, 2011, 149(1):29-39.
6. Lai EC, Yang GP, Tang CN.Robot-assisted laparoscopic liver resection for hepatocellular carcinoma:short-term outcome[J]. Am J Surg, 2013, 205(6):697-702.
7. Reggiani P, Antonelli B, Rossi G.Robotic surgery of the liver:Italian experience and review of the literature[J].Ecancermedicalscience, 2013, 7:358.doi:10.3332/ecancer.2013.358.
8. van der Meijden OA, Schijven MP.The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training:a current review[J].Surg Endosc, 2009, 23(6):1180-1190.
9. Tsung A, Geller DA, Sukato DC, et al.Robotic versus laparos-copic hepatectomy:A matched comparison[J].Ann Surg, 2013 Sep 16.[Epub ahead of print].
10. Boggi U, Caniglia F, Amorese G.Laparoscopic robot-assisted major hepatectomy[J].J Hepatobiliary Pancreat Sci, 2014, 21(1):3-10.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Summary of da Vinci Surgery System in Liver Tumor Resection

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