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Published in: Surgical Endoscopy 10/2018

01-10-2018

Intraoperative ultrasonography of robot-assisted laparoscopic hepatectomy: initial experiences from 110 consecutive cases

Authors: Peng Zhu, Wei Liao, Ze-yang Ding, Hong-chang Luo, Bin-hao Zhang, Wan-guang Zhang, Wei Zhang, Zhan-guo Zhang, Bi-xiang Zhang, Xiao-ping Chen

Published in: Surgical Endoscopy | Issue 10/2018

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Abstract

Background

To evaluate the safety and efficacy of IOUS in robotic liver surgery and propose a standard protocol of IOUS for safe robot-assisted hepatectomy.

Methods

Between February 2015 and December 2016, liver resection was performed in 110 patients with robotic approach in Tongji Hospital. In these patients, IOUS was routinely performed. All data about demographic, surgical procedure, postoperative course were collected prospectively and analyzed.

Results

A four steps IOUS protocol in robotic liver surgery was proposed, including exploration, verification, guidance, and confirmation. A total of 11 additional lesions in 11 patients were detected and 7 patients accepted strategic surgical modification. No patient suffered from any single or multiple organ dysfunctions, and there were no mortalities observed.

Conclusion

IOUS is indispensable to understand lesions and vessels in robotic liver surgery. A four-step standard protocol of IOUS is essential for safe robot-assisted hepatectomy.
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Metadata
Title
Intraoperative ultrasonography of robot-assisted laparoscopic hepatectomy: initial experiences from 110 consecutive cases
Authors
Peng Zhu
Wei Liao
Ze-yang Ding
Hong-chang Luo
Bin-hao Zhang
Wan-guang Zhang
Wei Zhang
Zhan-guo Zhang
Bi-xiang Zhang
Xiao-ping Chen
Publication date
01-10-2018
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 10/2018
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-017-5854-9

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