| Autor: |
Yeung, Kai Tai Derek, Vellaisamy, Rajendran, Hussain, Aasim, Mingo, Olivia, Raobaikady, Ravishankar, Nicol, David, Rasheed, Shahnawaz, Tekkis, Paris, Cunningham, David, Jiao, Long R. |
| Předmět: |
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| Zdroj: |
Surgical Endoscopy & Other Interventional Techniques; Aug2024, Vol. 38 Issue 8, p4329-4335, 7p |
| Abstrakt: |
Background: Liver surgery is associated with a significant hospital stay regardless the type of liver resection. A large incision is essential for open liver surgery which is a major factor in the course of the patient's recovery. For patients with small parenchyma liver lesions requiring surgical resection, robotic surgery potentially offers the opportunity to transform the patient's post-operative course. A day-case robotic liver resection pathway was formulated and implemented at our institution when patients were planned for discharge within 24 h of admission for liver surgery. Methods: Single surgeon case series of cases performed at a tertiary hepatobiliary and pancreatic centre between September 2022 and November 2023. The inclusion criteria were non-anatomical wedge resections, < 2 anatomical segmental resections, left lateral hepatectomy and minimally invasive surgery. Results: This is the first series of robotic day-case minor liver resection in the United Kingdom. 20 patients were included in this case series. The mean operative time was 86.6 ± 30.9 min and mean console time was 58.6 ± 24.5 min. Thirteen patients (65%) were discharged within 24 h of surgery. The main cause of hospitalisation beyond 24 h was inadequate pain relief. There were no Clavien–Dindo grade III or above complications, no 30-day readmission and 90-day mortalities. Conclusion: This case series demonstrates that robotic day-case liver resection is safe and feasible. Robust follow-up pathways must be in place to allow for the safe implementation of this approach, to monitor for any complications and to allow intervention as required in a timely manner. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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