Total robotic ALPPS approach for hepatocellular carcinoma in cirrhotic liver.

Autor: Fernandes ESM; Department of Hepatopancreatobiliary and Transplant Surgery, Rio de Janeiro Federal University, Rio de Janeiro, Brazil.; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., de Barros F; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Magistri P; Department of Hepatopancreatobiliary Surgery and Liver Transplant, Maranhão Federal University, São Luís, Brazil.; Hepatopancreatobiliary Surgery and Transplant, Modena University Hospital, Modena, Italy., Di Sandro S; Department of Hepatopancreatobiliary Surgery and Liver Transplant, Maranhão Federal University, São Luís, Brazil.; Hepatopancreatobiliary Surgery and Transplant, Modena University Hospital, Modena, Italy., Rezende de Carvalho P; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Roza da Silva F; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Andrade RO; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Pimentel LS; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Girão CL; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Pedreira de Mello F; Department of Surgery, San Lucas Hospital, Rio de Janeiro, Brazil., Torres OJM; Department of Hepatopancreatobiliary Surgery and Liver Transplant, Maranhão Federal University, São Luís, Brazil., Di Benedetto F; Hepatopancreatobiliary Surgery and Transplant, Modena University Hospital, Modena, Italy.
Jazyk: angličtina
Zdroj: The international journal of medical robotics + computer assisted surgery : MRCAS [Int J Med Robot] 2021 Jun; Vol. 17 (3), pp. e2238. Date of Electronic Publication: 2021 Mar 01.
DOI: 10.1002/rcs.2238
Abstrakt: Background: Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure.
Methods: To present three cases of totally robotic ALPPS in cirrhotic patients with HCC.
Results: Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was ≤9 and tumour size between 90 and 140 mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30 h and of stage 2 was 4:37 h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded.
Conclusions: Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: