Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver

Introduction: Cystic liver lesions may be benign cysts, parasitic infestations, or malignant tumors requiring surgical resection. Hilar location and relation to major vasculature present challenges in conventional surgical access and resection.Materials and Methods: We describe totally robotic excis...

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Autores principales:	Evgeny Solomonov, Itamar Tzadok, Seema Biswas
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	liver cyst hepatopancreaticobiliary robotic minimally invasive Surgery RD1-811
Acceso en línea:	https://doaj.org/article/9c7dac3b978a4f94ba455a5b17344539
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spelling	oai:doaj.org-article:9c7dac3b978a4f94ba455a5b173445392021-12-02T09:51:48ZCase Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver2296-875X10.3389/fsurg.2021.681012https://doaj.org/article/9c7dac3b978a4f94ba455a5b173445392021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.681012/fullhttps://doaj.org/toc/2296-875XIntroduction: Cystic liver lesions may be benign cysts, parasitic infestations, or malignant tumors requiring surgical resection. Hilar location and relation to major vasculature present challenges in conventional surgical access and resection.Materials and Methods: We describe totally robotic excision of a cystadenoma in a 55-year-old woman without complication. Time points in the accompanying video (https://youtu.be/Tn_QPgpSHA4) are embedded within the text.Results: Advantages of the robotic technique lie in overcoming the natural restriction of conventional laparoscopic instruments, easier repair, and control of intraoperative vascular injuries using EndoWrist® instruments, ergonomic dissection close to major vasculature and reduced intraoperative blood loss as dissection is easier.Discussion: Indications for robotic surgery included the large size of the cystic lesion, its intrahepatic location, and compression of the inferior vena cava (IVC) and right and middle hepatic veins. Had robotic removal of the lesion not been feasible, the entire lobe of the liver would have required resection.Evgeny SolomonovEvgeny SolomonovEvgeny SolomonovItamar TzadokSeema BiswasFrontiers Media S.A.articlelivercysthepatopancreaticobiliaryroboticminimally invasiveSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	liver cyst hepatopancreaticobiliary robotic minimally invasive Surgery RD1-811
spellingShingle	liver cyst hepatopancreaticobiliary robotic minimally invasive Surgery RD1-811 Evgeny Solomonov Evgeny Solomonov Evgeny Solomonov Itamar Tzadok Seema Biswas Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
description	Introduction: Cystic liver lesions may be benign cysts, parasitic infestations, or malignant tumors requiring surgical resection. Hilar location and relation to major vasculature present challenges in conventional surgical access and resection.Materials and Methods: We describe totally robotic excision of a cystadenoma in a 55-year-old woman without complication. Time points in the accompanying video (https://youtu.be/Tn_QPgpSHA4) are embedded within the text.Results: Advantages of the robotic technique lie in overcoming the natural restriction of conventional laparoscopic instruments, easier repair, and control of intraoperative vascular injuries using EndoWrist® instruments, ergonomic dissection close to major vasculature and reduced intraoperative blood loss as dissection is easier.Discussion: Indications for robotic surgery included the large size of the cystic lesion, its intrahepatic location, and compression of the inferior vena cava (IVC) and right and middle hepatic veins. Had robotic removal of the lesion not been feasible, the entire lobe of the liver would have required resection.
format	article
author	Evgeny Solomonov Evgeny Solomonov Evgeny Solomonov Itamar Tzadok Seema Biswas
author_facet	Evgeny Solomonov Evgeny Solomonov Evgeny Solomonov Itamar Tzadok Seema Biswas
author_sort	Evgeny Solomonov
title	Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
title_short	Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
title_full	Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
title_fullStr	Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
title_full_unstemmed	Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver
title_sort	case report: robotically assisted excision of cystic tumor located in a difficult to access area in the liver
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9c7dac3b978a4f94ba455a5b17344539
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Case Report: Robotically Assisted Excision of Cystic Tumor Located in a Difficult to Access Area in the Liver

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