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Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre.
Yeung, Kai Tai Derek; Vellaisamy, Rajendran; Hussain, Aasim; Mingo, Olivia; Raobaikady, Ravishankar; Nicol, David; Rasheed, Shahnawaz; Tekkis, Paris; Cunningham, David; Jiao, Long R.
Afiliación
  • Yeung KTD; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Vellaisamy R; Imperial College London, Exhibition Road, South Kensington, London, SW7 2BU, UK.
  • Hussain A; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Mingo O; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Raobaikady R; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Nicol D; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Rasheed S; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Tekkis P; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Cunningham D; Department of Surgery and Oncology, The Royal Marsden Hospital, 203 Fulham Road, London, SW3 6JJ, UK.
  • Jiao LR; Imperial College London, Exhibition Road, South Kensington, London, SW7 2BU, UK.
Surg Endosc ; 38(8): 4329-4335, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38874609
ABSTRACT

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tempo Operativo / Procedimientos Quirúrgicos Robotizados / Procedimientos Quirúrgicos Ambulatorios / Hepatectomía Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Tempo Operativo / Procedimientos Quirúrgicos Robotizados / Procedimientos Quirúrgicos Ambulatorios / Hepatectomía Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Alemania