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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2023, Vol. 16 ›› Issue (01): 56-59. doi: 10.3877/cma.j.issn.1674-6899.2023.01.014

• Case Report • Previous Articles     Next Articles

Robotic anatomical right posterior hepatic lobectomy

Pengyu Zhou1, Zhijian Tu1, Chuanfu Li1, Xiaohua Lei1, Guodong Chen1,()   

  1. 1. The First Affiliated Hospital of University of South China, Department of Hepatopancreatobiliary Surgery, Hengyang 421001, China
  • Received:2023-01-01 Online:2023-02-28 Published:2023-04-12
  • Contact: Guodong Chen

Abstract:

Objective

To explore the feasibility, safety and advantage of using da Vinci robot for anatomic right posterior hepatic lobectomy.

Methods

A case of focal liver lesions admitted to the First Affiliated Hospital of University of South China in Dec. 2020 was selected. A 61-year-old male found a hepatocellular carcinoma by the enhanced abdominal CT, located in S6 and S7 segments, and the size was about 80 mm×60 mm. Robot anatomical right posterior hepatic lobectomy was performed under general anesthesia, and ERAS management mode was applied in perioperative period.

Results

The operation was successful, the operation time was about 150 min, and the intraoperative blood loss was about 100 mL. There were no postoperative complications such as liver failure, bleeding and infection. The patient was discharged on the 7 days after operation. Postoperative pathology showed that the incisal margin was negative, and there were no signs of tumor recurrence and metastasis in CT at 4 and 10 months after operation.

Conclusions

Robot right posterior hepatic lobectomy is safe and feasible.

Key words: Hepatocellular carcinoma, Robot, Anatomical right posterior hepatic lobectomy

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