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Updates in Surgery
Published in: Updates in Surgery 2/2015

01-06-2015 | Review Article

Indications for liver surgery: laparoscopic or robotic approach

Authors: Stefano Amore Bonapasta, Ilenia Bartolini, Paolo Checcacci, Francesco Guerra, Andrea Coratti

Published in: Updates in Surgery | Issue 2/2015

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Abstract

Laparoscopic liver resections have been demonstrated to be safe and effective with the advantages of a shorter hospital stay, less blood loss, less adhesions and better postoperative recovery compared to open surgery. However, indications are usually confined to peripheral, small lesions, due to issues intrinsic to the approach. In the effort to overcome some of these technical limitations, robotic technology has been developed, with encouraging findings. We performed a review of the literature to assess the current indications for laparoscopic hepatic resections and to investigate the role of robotics in broadening the application of minimally invasive liver surgery. Although a paucity of data exists, especially regarding long-term oncological outcomes and specific comparisons with laparoscopy, robotics has been proved to facilitate several complex liver procedures, including parenchyma-saving resections. Thus, the number of patients who can benefit from less invasive, conservative approach is potentially increased.
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Metadata
Title
Indications for liver surgery: laparoscopic or robotic approach
Authors
Stefano Amore Bonapasta
Ilenia Bartolini
Paolo Checcacci
Francesco Guerra
Andrea Coratti
Publication date
01-06-2015
Publisher
Springer Milan
Published in
Updates in Surgery / Issue 2/2015
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-015-0321-4

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