‘Burn and Push’ technique: A novel robotic liver parenchymal transection technique

IF 2.3 3区医学 Q2 SURGERY

International Journal of Medical Robotics and Computer Assisted Surgery Pub Date : 2024-04-20 DOI:10.1002/rcs.2631

Yuzuru Sambommatsu, Seung Duk Lee, Daisuke Imai, Kush Savsani, Aamir A. Khan, Amit Sharma, Muhammad Saeed, Adrian H. Cotterell, Vinay Kumaran, Marlon F. Levy, David A. Bruno

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Abstract

Background

Liver parenchymal transection during robotic liver resection (RLR) remains a significant challenge due to the limited range of specialised instruments. This study introduces our ‘Burn and Push’ technique as a novel approach to address these challenges.

Methods

A retrospective analysis was conducted on 20 patients who underwent RLR using the ‘Burn and Push’ technique at Virginia Commonwealth University Health System from November 2021 to August 2023. The study evaluated peri- and post-operative outcomes.

Results

The median operation time was 241.5 min (range, 90–620 min), and the median blood loss was 100 mL (range, 10–600 mL). Major complications occurred in one case, with no instances of postoperative bleeding, bile leak, or liver failure.

Conclusions

The ‘Burn and Push’ technique is a viable and efficient alternative for liver parenchymal transection in RLR. Further research with larger sample sizes and consideration of the learning curve is necessary to validate these findings.

Abstract Image

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烧推 "技术：一种新型机器人肝实质横切技术

背景由于专用器械的范围有限，机器人肝切除术（RLR）中的肝实质横切仍然是一项重大挑战。本研究介绍了我们的 "烧推 "技术，作为应对这些挑战的新方法。方法对 2021 年 11 月至 2023 年 8 月期间在弗吉尼亚联邦大学卫生系统使用 "烧推 "技术进行 RLR 的 20 位患者进行了回顾性分析。研究评估了围手术期和术后结果。结果中位手术时间为 241.5 分钟（90-620 分钟不等），中位失血量为 100 毫升（10-600 毫升不等）。主要并发症发生 1 例，无术后出血、胆汁渗漏或肝功能衰竭。结论 "烧推 "技术是在 RLR 中进行肝实质横断的一种可行而有效的替代方法。为了验证这些发现，有必要进行样本量更大的进一步研究，并考虑学习曲线。

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来源期刊

International Journal of Medical Robotics and Computer Assisted Surgery 医学-外科

CiteScore

4.50

自引率

12.00%

发文量

131

审稿时长

6-12 weeks

期刊介绍： The International Journal of Medical Robotics and Computer Assisted Surgery provides a cross-disciplinary platform for presenting the latest developments in robotics and computer assisted technologies for medical applications. The journal publishes cutting-edge papers and expert reviews, complemented by commentaries, correspondence and conference highlights that stimulate discussion and exchange of ideas. Areas of interest include robotic surgery aids and systems, operative planning tools, medical imaging and visualisation, simulation and navigation, virtual reality, intuitive command and control systems, haptics and sensor technologies. In addition to research and surgical planning studies, the journal welcomes papers detailing clinical trials and applications of computer-assisted workflows and robotic systems in neurosurgery, urology, paediatric, orthopaedic, craniofacial, cardiovascular, thoraco-abdominal, musculoskeletal and visceral surgery. Articles providing critical analysis of clinical trials, assessment of the benefits and risks of the application of these technologies, commenting on ease of use, or addressing surgical education and training issues are also encouraged. The journal aims to foster a community that encompasses medical practitioners, researchers, and engineers and computer scientists developing robotic systems and computational tools in academic and commercial environments, with the intention of promoting and developing these exciting areas of medical technology.