Chirurgia del Fegato a Firenze!

Dal 1° Marzo 2023, Chirurgia del Fegato sarà all'Università di Firenze
AOUC Azienda Ospedaliero-Universitaria Careggi - Largo Brambilla, 3 - 50134 Firenze

Prima serie di resezioni epatiche robotiche

Pier Cristoforo Giulianotti inizia all’ospedale Misericordia, di Grosseto, la prima serie di resezioni epatiche eseguite con il Robot chirurgico “da Vinci”.

La serie verrà poi proseguita a Chicago.

In 7 anni ne eseguirà 70: ventisette (38.5%) saranno resezioni epatiche maggiori. Il tasso di conversione ad open sarà del 5.7% (4 casi).

Il lavoro dedicato esclusivamente alle resezioni epatiche robotiche verrà accettato per la pubblicazione nell’Aprile 2010.

La referenza bibliografica per questo evento è:

Pier Cristoforo Giulianotti, Andrea Coratti, Fabio Sbrana, Pietro Addeo, Francesco Maria Bianco, Nicolas Christian Buchs, Mario Annechiarico, Enrico Benedetti: Robotic liver surgery: Results for 70 resections. In: Surgery, vol. 149, no 1, pp. 29 – 39, 2011, ISSN: 00396060, (Cited by: 205).

Abstract

Background: Robotic surgery is gaining popularity for digestive surgery; however, its use for liver surgery is reported scarcely. This article reviews a surgeon's experience with the use of robotic surgery for liver resections. Methods: From March 2002 to March 2009, 70 robotic liver resections were performed at 2 different centers by a single surgeon. The surgical procedure and postoperative outcome data were reviewed retrospectively. Results: Malignant tumors were indications for resections in 42 (60%) patients, whereas benign tumors were indications in 28 (40%) patients. The median age was 60 years (range, 21-84) and 57% of patients were female. Major liver resections (≥3 liver segments) were performed in 27 (38.5%) patients. There were 4 conversions to open surgery (5.7%). The median operative time for a major resection was 313 min (range, 220-480) and 198 min (range, 90-459) for minor resection. The median blood loss was 150 mL (range, 20-1,800) for minor resection and 300 mL (range, 100-2,000) for major resection. The mortality rate was 0%, and the overall rate of complications was 21%. Major morbidity occurred in 4 patients in the major hepatectomies group (14.8%) and in 4 patients in the minor hepatectomies group (9.3%). All complications were managed conservatively and none required reoperation. Conclusion: This preliminary experience shows that robotic surgery can be used safely for liver resections with a limited conversion rate, blood loss, and postoperative morbidity. Robotics offers a new technical option for minimally invasive liver surgery. © 2011 Mosby, Inc. All rights reserved.

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Chirurgia del Fegato all'Università di Firenze!

Chirurgia Epato-Bilio-Pancreatica

AOUC Azienda Ospedaliero-Universitaria Careggi
Largo Brambilla, 3 – 50134 Firenze

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