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首页> 外文期刊>Surgical Endoscopy >Systematic review of robotic liver resection.
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Systematic review of robotic liver resection.

机译：机器人肝切除的系统综述。

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Robotic liver resection has emerged as a new modality in the field of minimally invasive surgery. However, the effectiveness of this approach for liver resection is not yet known.A literature survey was performed using specific search phrases in PubMed. Case series that focused on biliary reconstruction were excluded. Characteristics, such as patient demographics, perioperative outcomes, and oncological results for colorectal liver metastasis and hepatocellular carcinoma were analyzed.Nineteen series that described the cases of 217 eligible patients were reviewed. The most commonly performed procedures were wedge resection and segmentectomy. Right hepatectomy was performed in a few specialized centers. The conversion and complication rates were 4.6 and 20.3 %, respectively. The most common reason for conversion was unclear tumor margin. Intra-abdominal fluid collection was the most frequently occurring morbidity. Mean operation time was 200-507 min. Mean intraoperative blood loss was 50-660 mL, with a tendency toward increased blood loss observed in series that included major hepatectomies. Mean postoperative hospital stay was 5.5-11.7 days. The longest mean follow-up time was 36 months for colorectal liver metastasis and 25.1 months in hepatocellular carcinoma. Disease-free survival for mixed malignancies was comparable to that after laparoscopic procedures. Overall survival was not reported.Robotic liver resection is safe and feasible for experienced surgeons with advanced laparoscopic skills. Long-term oncologic outcomes are unclear, but short-term perioperative results seem comparable to those of conventional laparoscopic liver resection.
机译：机器人肝切除术在微创手术领域中出现了一种新的形态。然而，肝切除方法的有效性尚不清楚。使用Pubmed中的特定搜索短语进行文献调查。案例系列专注于胆道重建被排除在外。分析了患者人口统计学，围手术期结果，术后肝转移和肝细胞癌的特征。在审查了217名符合条件的患者的情况下进行了12个系列。最常见的程序是楔切除和分段切除术。右肝切除术在一些专业中心进行。转化和并发症率分别为4.6％和20.3％。转化的最常见原因是肿瘤余量不明确。腹腔内流体收集是最常见的发病率。平均手术时间为200-507分钟。平均术中失血量为50-660毫升，趋势促进含有主要肝切除术的序列中的血液损失。平均术后住院住宿是5.5-11.7天。最长的平均随访时间为结肠直肠肝转移和肝细胞癌25.1个月的36个月。混合恶性肿瘤的无病生存率与腹腔镜手术后的易疾病。没有报道整体生存率。肝切除术对具有先进的腹腔镜技能的外科医生是安全可行的。长期肿瘤结果尚不清楚，但短期围手术期结果似乎与常规腹腔镜肝切除术相当。

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