Intraoperative ultrasonography of robot-assisted laparoscopic hepatectomy: initial experiences from 110 consecutive cases

Surgical Endoscopy
Peng ZhuXiao-Ping Chen

Abstract

To evaluate the safety and efficacy of IOUS in robotic liver surgery and propose a standard protocol of IOUS for safe robot-assisted hepatectomy. Between February 2015 and December 2016, liver resection was performed in 110 patients with robotic approach in Tongji Hospital. In these patients, IOUS was routinely performed. All data about demographic, surgical procedure, postoperative course were collected prospectively and analyzed. A four steps IOUS protocol in robotic liver surgery was proposed, including exploration, verification, guidance, and confirmation. A total of 11 additional lesions in 11 patients were detected and 7 patients accepted strategic surgical modification. No patient suffered from any single or multiple organ dysfunctions, and there were no mortalities observed. IOUS is indispensable to understand lesions and vessels in robotic liver surgery. A four-step standard protocol of IOUS is essential for safe robot-assisted hepatectomy.

References

May 1, 1989·Annals of Surgery·G A ParkerM J Koretz
Nov 1, 1986·Annals of Surgery·D CastaingH Bismuth
Nov 17, 2009·Annals of Surgery·Joseph F BuellUNKNOWN World Consensus Conference on Laparoscopic Surgery
Oct 11, 2011·Surgery·Caitlin M SchneiderMichael A Choti
Aug 23, 2012·World Journal of Gastrointestinal Oncology·Rouzbeh MostaediVijay P Khatri
Sep 13, 2012·Annals of Surgery·Takeaki IshizawaBrice Gayet
Jan 23, 2013·The British Journal of Surgery·L ViganòL Capussotti
Apr 9, 2013·American Journal of Surgery·Eric C H LaiChung Ngai Tang
Jun 12, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Jean-Sébastien PelletierShahzeer Karmali
Dec 10, 2013·Journal of the American College of Surgeons·Kenichiro ArakiBrice Gayet
Jul 6, 2014·World Journal of Surgery·Hadrien TranchartAlberto Patriti
Aug 20, 2014·Surgical Endoscopy·Alessandro FerreroLorenzo Capussotti
Feb 5, 2016·World Journal of Gastrointestinal Surgery·Fabricio Ferreira CoelhoPaulo Herman
Aug 9, 2016·Hepatobiliary Surgery and Nutrition·Takeaki IshizawaNorihiro Kokudo

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.