Introduction of day-case robotic liver surgery: a case series from a tertiary hepatobiliary and pancreatic centre.
Date
2024-08-01ICR Author
Author
Yeung, KTD
Vellaisamy, R
Hussain, A
Mingo, O
Raobaikady, R
Nicol, D
Rasheed, S
Tekkis, P
Cunningham, D
Jiao, LR
Type
Journal Article
Metadata
Show full item recordAbstract
BACKGROUND: Liver surgery is associated with a significant hospital stay regardless the type of liver resection. A large incision is essential for open liver surgery which is a major factor in the course of the patient's recovery. For patients with small parenchyma liver lesions requiring surgical resection, robotic surgery potentially offers the opportunity to transform the patient's post-operative course. A day-case robotic liver resection pathway was formulated and implemented at our institution when patients were planned for discharge within 24 h of admission for liver surgery. METHODS: Single surgeon case series of cases performed at a tertiary hepatobiliary and pancreatic centre between September 2022 and November 2023. The inclusion criteria were non-anatomical wedge resections, < 2 anatomical segmental resections, left lateral hepatectomy and minimally invasive surgery. RESULTS: This is the first series of robotic day-case minor liver resection in the United Kingdom. 20 patients were included in this case series. The mean operative time was 86.6 ± 30.9 min and mean console time was 58.6 ± 24.5 min. Thirteen patients (65%) were discharged within 24 h of surgery. The main cause of hospitalisation beyond 24 h was inadequate pain relief. There were no Clavien-Dindo grade III or above complications, no 30-day readmission and 90-day mortalities. CONCLUSION: This case series demonstrates that robotic day-case liver resection is safe and feasible. Robust follow-up pathways must be in place to allow for the safe implementation of this approach, to monitor for any complications and to allow intervention as required in a timely manner.
Collections
Subject
Colorecal liver metastasis
Day case surgery
Liver resection
Robotic liver resection
Humans
Robotic Surgical Procedures
Hepatectomy
Female
Middle Aged
Male
Aged
Operative Time
Ambulatory Surgical Procedures
Length of Stay
Adult
Tertiary Care Centers
Research team
Medicine (RMH)
Language
eng
Date accepted
2024-05-05
License start date
2024-08-01
Citation
Surgical Endoscopy, 2024, 38 (8), pp. 4329 - 4335
Publisher
SPRINGER