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Robotic hepatectomy: initial experience of a single institution in Singapore
Singapore medical journal ; : 209-214, 2016.
Artículo en Inglés | WPRIM | ID: wpr-276689
ABSTRACT
<p><b>INTRODUCTION</b>In this study, we report our initial experience with robotic hepatectomy.</p><p><b>METHODS</b>Consecutive patients who underwent robotic hepatectomy at Singapore General Hospital, Singapore, from February 2013 to February 2015 were enrolled in this study. The difficulty level of operations was graded using a novel scoring system for laparoscopic hepatectomies.</p><p><b>RESULTS</b>During the two-year period, five consecutive robotic hepatectomies were performed (one left lateral sectionectomy, one non-anatomical segment II/III resection, one anatomical segment V resection with cholecystectomy, one extended right posterior sectionectomy and one non-anatomical segment V/VI resection). Two hepatectomies were performed for suspected hepatocellular carcinoma, two for solitary liver metastases and one for a large symptomatic haemangioma. The median age of the patients was 53 (range 38-66) years and the median tumour size was 2.5 (range 2.1-7.3) cm. The median total operation time was 340 (range 155-825) minutes and the median volume of blood loss was 300 (range 50-1,200) mL. There were no open conversions and no mortalities or major morbidities (> Clavien-Dindo Grade II). The difficulty level of the operations was graded as low in one case (Score 2), intermediate in three cases (Score 5, 6 and 6) and high in one case (Score 10). There was one minor morbidity, where the patient experienced Grade A bile leakage, which resolved spontaneously. The median length of postoperative hospital stay was 5 (range 4-7) days.</p><p><b>CONCLUSION</b>Our initial experience confirmed the feasibility and safety of robotic hepatectomy.</p>
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Singapur / Cirugía General / Robótica / Estudios Prospectivos / Estudios de Seguimiento / Laparoscopía / Carcinoma Hepatocelular / Tempo Operativo / Hepatectomía / Tiempo de Internación Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Singapore medical journal Año: 2016 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Singapur / Cirugía General / Robótica / Estudios Prospectivos / Estudios de Seguimiento / Laparoscopía / Carcinoma Hepatocelular / Tempo Operativo / Hepatectomía / Tiempo de Internación Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Adulto / Anciano / Femenino / Humanos / Masculino País/Región como asunto: Asia Idioma: Inglés Revista: Singapore medical journal Año: 2016 Tipo del documento: Artículo