Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review
<i>Background and Objectives</i>: Resection of the caudate lobe of the liver is considered a highly challenging surgical procedure due to the deep anatomic location of this segment and the relationships with major vessels. There is no clear evidence about the safety and effectiveness of...
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MDPI AG
2024-12-01
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| author | Gabriela Del Angel Millan Gianluca Cassese Fabio Giannone Celeste Del Basso Mariantonietta Alagia Marco Lodin Igor Monsellato Marco Palucci Federico Sangiuolo Fabrizio Panaro |
| author_facet | Gabriela Del Angel Millan Gianluca Cassese Fabio Giannone Celeste Del Basso Mariantonietta Alagia Marco Lodin Igor Monsellato Marco Palucci Federico Sangiuolo Fabrizio Panaro |
| author_sort | Gabriela Del Angel Millan |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Resection of the caudate lobe of the liver is considered a highly challenging surgical procedure due to the deep anatomic location of this segment and the relationships with major vessels. There is no clear evidence about the safety and effectiveness of robotic resection of the caudate lobe. The aim of this systematic review was to report data about the safety, technical feasibility, and postoperative outcomes of robotic caudate lobectomy. <i>Materials and Methods</i>: A systematic review of the MEDLINE and SCOPUS databases was undertaken, including studies published until 19 December 2024. <i>Results</i>: A total of 5 studies including 110 patients were selected. Of these surgeries, 56.3% were performed for malignant tumors. Tumor size varied significantly between 0.9 and 7.7 cm in the largest diameter. The mean operative time was 184.5 min (range 70–522 min), and the estimated blood loss was 95.5 mL (range 10–1500 mL). The median hospital length of stay was 4.2 days (range 2–19 days) and no cases of conversion to open were reported. All the patients underwent R0 resection. In total, 24 out of 110 patients (21.8%) developed postoperative complications, with 1.8% of all patients developing a major complication (Clavien–Dindo classification ≥ III). No perioperative deaths were reported by the included studies. <i>Conclusions</i>: Few retrospective studies investigating the outcomes of robotic resection of the caudate lobe are currently available in the literature. From published data, it may be a safe and feasible alternative to open and laparoscopic caudate lobectomy in selected patients in referral HPB centers. Further studies with larger sample sizes are needed to confirm such preliminary findings. |
| format | Article |
| id | doaj-art-1025d7a4e11747ea9c0a80eeba9e7d6d |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
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| series | Medicina |
| spelling | doaj-art-1025d7a4e11747ea9c0a80eeba9e7d6d2025-01-24T13:40:19ZengMDPI AGMedicina1010-660X1648-91442024-12-016113410.3390/medicina61010034Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic ReviewGabriela Del Angel Millan0Gianluca Cassese1Fabio Giannone2Celeste Del Basso3Mariantonietta Alagia4Marco Lodin5Igor Monsellato6Marco Palucci7Federico Sangiuolo8Fabrizio Panaro9Division of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, ItalyDivision of Hepato-Pancreato-Biliary, Oncologic and Robotic Surgery, Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy<i>Background and Objectives</i>: Resection of the caudate lobe of the liver is considered a highly challenging surgical procedure due to the deep anatomic location of this segment and the relationships with major vessels. There is no clear evidence about the safety and effectiveness of robotic resection of the caudate lobe. The aim of this systematic review was to report data about the safety, technical feasibility, and postoperative outcomes of robotic caudate lobectomy. <i>Materials and Methods</i>: A systematic review of the MEDLINE and SCOPUS databases was undertaken, including studies published until 19 December 2024. <i>Results</i>: A total of 5 studies including 110 patients were selected. Of these surgeries, 56.3% were performed for malignant tumors. Tumor size varied significantly between 0.9 and 7.7 cm in the largest diameter. The mean operative time was 184.5 min (range 70–522 min), and the estimated blood loss was 95.5 mL (range 10–1500 mL). The median hospital length of stay was 4.2 days (range 2–19 days) and no cases of conversion to open were reported. All the patients underwent R0 resection. In total, 24 out of 110 patients (21.8%) developed postoperative complications, with 1.8% of all patients developing a major complication (Clavien–Dindo classification ≥ III). No perioperative deaths were reported by the included studies. <i>Conclusions</i>: Few retrospective studies investigating the outcomes of robotic resection of the caudate lobe are currently available in the literature. From published data, it may be a safe and feasible alternative to open and laparoscopic caudate lobectomy in selected patients in referral HPB centers. Further studies with larger sample sizes are needed to confirm such preliminary findings.https://www.mdpi.com/1648-9144/61/1/34robotic liver resectionrobotic caudatectomycaudate lobectomy |
| spellingShingle | Gabriela Del Angel Millan Gianluca Cassese Fabio Giannone Celeste Del Basso Mariantonietta Alagia Marco Lodin Igor Monsellato Marco Palucci Federico Sangiuolo Fabrizio Panaro Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review Medicina robotic liver resection robotic caudatectomy caudate lobectomy |
| title | Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review |
| title_full | Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review |
| title_fullStr | Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review |
| title_full_unstemmed | Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review |
| title_short | Postoperative Outcomes After Robotic Liver Resection of Caudate Lobe: A Systematic Review |
| title_sort | postoperative outcomes after robotic liver resection of caudate lobe a systematic review |
| topic | robotic liver resection robotic caudatectomy caudate lobectomy |
| url | https://www.mdpi.com/1648-9144/61/1/34 |
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