Robotic Anatomical Liver Resection for Segment 7 Lesions Utilizing Saline-Linked Cautery (SLiC) Method Article Swipe
Takahisa Fujikawa
,
Yusuke Uemoto
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.71537
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.71537
Introduction Anatomical hepatectomy for segment 7 (S7) lesions is technically challenging due to their restricted accessibility and close proximity to the right hepatic vein, and the robotic approach for this challenging situation is currently not supported by conclusive data. Methods We present our novel technique of robotic anatomical hepatectomy for S7 lesions utilizing the saline-linked cautery (SLiC) method. Between 2022 and 2023, 10 robotic S7 subsectionectomy or right posterior sectionectomy were performed and included in the current study. The historical control group included patients undergoing laparoscopic anatomical hepatectomy for S7 lesions between 2017 and 2021 (n=9). Surgical outcomes were compared between the groups to assess the efficacy and safety of our technical robotic approach for S7 lesions. Results There were no conversions to open liver resection, no cases of grade B or C post-hepatectomy liver failure, and no mortality in the whole cohort. Although no difference was found between the laparoscopic and robotic groups in the difficulty score, operative time, and rate of red blood cell transfusion, the robotic group had a significantly lesser amount of surgical blood loss (28mL vs. 280mL, p=0.005). Concerning postoperative complications, one patient had liver subcapsular hematoma in the robotic group, although neither bile leakage nor intraperitoneal abscess occurred in the whole cohort. Conclusions Although robotic right posterior sectionectomy and S7 subsectionectomy of the liver are technically demanding procedures, the intrahepatic Glissonean approach using the SLiC method is safe and feasible. It might be performed without increasing the incidence of postoperative complications. Thus, the current approach can be considered as one of the preferred options for robotic anatomical hepatectomy for S7 lesions.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7759/cureus.71537
- OA Status
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- References
- 22
- Related Works
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- OpenAlex ID
- https://openalex.org/W4403428779
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403428779Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7759/cureus.71537Digital Object Identifier
- Title
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Robotic Anatomical Liver Resection for Segment 7 Lesions Utilizing Saline-Linked Cautery (SLiC) MethodWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-15Full publication date if available
- Authors
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Takahisa Fujikawa, Yusuke UemotoList of authors in order
- Landing page
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https://doi.org/10.7759/cureus.71537Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.7759/cureus.71537Direct OA link when available
- Concepts
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Medicine, Resection, Saline, Surgery, Radiology, Anatomy, AnesthesiaTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.hematoma | 191 |
| abstract_inverted_index.included | 73, 82 |
| abstract_inverted_index.lesions. | 116, 266 |
| abstract_inverted_index.occurred | 203 |
| abstract_inverted_index.outcomes | 97 |
| abstract_inverted_index.patients | 83 |
| abstract_inverted_index.surgical | 176 |
| abstract_inverted_index.currently | 33 |
| abstract_inverted_index.demanding | 222 |
| abstract_inverted_index.feasible. | 235 |
| abstract_inverted_index.incidence | 243 |
| abstract_inverted_index.mortality | 138 |
| abstract_inverted_index.operative | 158 |
| abstract_inverted_index.p=0.005). | 182 |
| abstract_inverted_index.performed | 71, 239 |
| abstract_inverted_index.posterior | 68, 212 |
| abstract_inverted_index.preferred | 258 |
| abstract_inverted_index.proximity | 18 |
| abstract_inverted_index.situation | 31 |
| abstract_inverted_index.supported | 35 |
| abstract_inverted_index.technical | 111 |
| abstract_inverted_index.technique | 44 |
| abstract_inverted_index.utilizing | 52 |
| abstract_inverted_index.Anatomical | 1 |
| abstract_inverted_index.Concerning | 183 |
| abstract_inverted_index.Glissonean | 226 |
| abstract_inverted_index.anatomical | 47, 86, 262 |
| abstract_inverted_index.conclusive | 37 |
| abstract_inverted_index.considered | 253 |
| abstract_inverted_index.difference | 145 |
| abstract_inverted_index.difficulty | 156 |
| abstract_inverted_index.historical | 79 |
| abstract_inverted_index.increasing | 241 |
| abstract_inverted_index.resection, | 125 |
| abstract_inverted_index.restricted | 14 |
| abstract_inverted_index.undergoing | 84 |
| abstract_inverted_index.Conclusions | 208 |
| abstract_inverted_index.challenging | 10, 30 |
| abstract_inverted_index.conversions | 121 |
| abstract_inverted_index.hepatectomy | 2, 48, 87, 263 |
| abstract_inverted_index.procedures, | 223 |
| abstract_inverted_index.subcapsular | 190 |
| abstract_inverted_index.technically | 9, 221 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.intrahepatic | 225 |
| abstract_inverted_index.laparoscopic | 85, 150 |
| abstract_inverted_index.transfusion, | 166 |
| abstract_inverted_index.accessibility | 15 |
| abstract_inverted_index.postoperative | 184, 245 |
| abstract_inverted_index.saline-linked | 54 |
| abstract_inverted_index.sectionectomy | 69, 213 |
| abstract_inverted_index.significantly | 172 |
| abstract_inverted_index.complications, | 185 |
| abstract_inverted_index.complications. | 246 |
| abstract_inverted_index.intraperitoneal | 201 |
| abstract_inverted_index.post-hepatectomy | 133 |
| abstract_inverted_index.subsectionectomy | 65, 216 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 2 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.44999998807907104 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.3250911 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |