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17-06-2024 | Liver Cyst | original article

Robot-assisted fenestration of giant hepatic cysts in posterosuperior segments

Authors: Dr. Gaetano Piccolo, M.D, PhD, FACS, Matteo Barabino, M.D, Francesca Lecchi, M.D, Riccardo Masserano, M.D, Paolo Pietro Bianchi, M.D.

Published in: European Surgery

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Summary

Background

The diffusion of the use of robotic surgical platforms, such as the da Vinci Xi Surgical System® (Intuitive Surgical, Sunnyvale, CA, USA), has been advocated by several authors to overcome the limitations of laparoscopy in hepatobiliary surgery.

Methods

We reported our experience of robot-assisted fenestration of giant hepatic cysts in posterosuperior segments with the use of indocyanine green fluorescence imaging. We described step by step our surgical technique including the operative room set-up, port placement and robotic instruments.

Results

We enrolled 11 patients: nine females and two males with a mean age of 65 years (range 52–80 yrs). All procedures were undertaken successfully without intraoperative or postoperative complications. The mean surgical operating time was 125 min. The mean blood loss was 30 ml. The median postoperative stay was two days (range, 1 to 3 days).

Conclusions

The most significant advantage of the robotic approach was the ability to access hepatic cysts close to the diaphragm.
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Metadata
Title
Robot-assisted fenestration of giant hepatic cysts in posterosuperior segments
Authors
Dr. Gaetano Piccolo, M.D, PhD, FACS
Matteo Barabino, M.D
Francesca Lecchi, M.D
Riccardo Masserano, M.D
Paolo Pietro Bianchi, M.D.
Publication date
17-06-2024
Publisher
Springer Vienna
Keyword
Liver Cyst
Published in
European Surgery
Print ISSN: 1682-8631
Electronic ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-024-00834-1
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