Ali Ahmad, MD, FACS. University of Kansas School of Medicine-Wichita
Robotic surgery has shown significant promise in the hepatobiliary specialty. Traditional hepatectomy routinely entails the use of advanced energy instruments. We present a novel approach to minimally invasive formal hepatectomy using the DaVinci Xi system. Use of standard monopolar and bipolar robotic instruments, without advanced energy instruments, can be safely used to achieve a high quality resection with potential cost reduction benefits.
We present a case of a 54 year old female diagnosed with a symptomatic giant right hepatic adenoma measuring approximately 20cm in size. Due to the large size of the lesion, a right hepatectomy was considered appropriate. Patient underwent an uneventful robotic right hepatectomy. Estimated blood loss was 75 mL. No complications occurred in the postoperative period. Patient was discharged home on postoperative day 5.
In our experience, robotic formal hepatectomy is a safe procedure that grants accelerated postoperative recovery. The procedure can be performed with simple monopolar and bipolar energy which likely eliminates the need for more cost-prohibitive advanced energy instruments.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 92084
Program Number: V179
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop