Chicago 2009 Video – Robot-Assisted HPB Surgery: Experience with 57 Cases from China

Ningxin Zhou (Beijing – China)

Abstract
Objective To summarize the experience of fifty-seven operations in hepatobiliary pancreatic surgery with Da Vinci surgical system. Methods Between January and June 2009, we performed 57 robotic-assisted surgery with hepatobiliary and pancreatic disease. These diseases included hilar cholangiocarcinoma, pancreatic cancer, hepatocellular carcinoma, hepatobiliary cystadenoma, hepatolithiasis, and so on. Results 54 cases were completed entirely with the robotic system, the rate of success was 94.7%, 54/57, 3 cases converted to open surgery. All patients had successful operation and recovered without complications. Types of procedures included: Whipple’s operation-7, hilar cholangiocarcinoma resection-6, anatomic hepatectomy-2, Roux-en-Y anastomosis or biliary reconstruction-10, cholecystectomy and common bile duct exploration-10, hepaticotomy-4, body and tail of pancreas and spleen resection-2. There were no operative deaths or device-related complications. Recovery was accelerated and blood loss was less.

Conclusion
Almost all operations in hepatobiliary pancreatic surgery could be performed successfully with Da Vinci surgical system. Robotic surgery will improve the development of minimally invasive surgery.