Robotic approach to the para-caval segments of the liver
March 29, 2011
A. Patriti, L. Casciola, G. Ceccarelli
SUMMARY
Robotics, providing an enhanced vision and fine movements, allows a safe and precise caval dissection. Therefore, a parenchymal sparing liver resection can be carried out also for deeply located liver lesions avoiding major hepatectomies. A training in kidney nephron-sparing surgery had a paramount role to confidently approach the retrohepatic vena cava, as well as the use of hemolock clips to secure the small accessory veins to segments 7 and 1. Left-sided patient position and the trans-costal position of the right robotic trocar are other key point to safely dissect the vena cava gaining the access to segment 7 and 8.
