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Intraoperative ultrasonography of robot-assisted laparoscopic hepatectomy: initial experiences from 110 consecutive cases

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Abstract

Background

To evaluate the safety and efficacy of IOUS in robotic liver surgery and propose a standard protocol of IOUS for safe robot-assisted hepatectomy.

Methods

Between February 2015 and December 2016, liver resection was performed in 110 patients with robotic approach in Tongji Hospital. In these patients, IOUS was routinely performed. All data about demographic, surgical procedure, postoperative course were collected prospectively and analyzed.

Results

A four steps IOUS protocol in robotic liver surgery was proposed, including exploration, verification, guidance, and confirmation. A total of 11 additional lesions in 11 patients were detected and 7 patients accepted strategic surgical modification. No patient suffered from any single or multiple organ dysfunctions, and there were no mortalities observed.

Conclusion

IOUS is indispensable to understand lesions and vessels in robotic liver surgery. A four-step standard protocol of IOUS is essential for safe robot-assisted hepatectomy.

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Acknowledgements

We are sincerely grateful to Dr. Satish Nadig (Department of Surgery, Medical University of South Carolina, USA) for language assistance and valuable suggestions.

Funding

Grants from the Chinese Ministry of Public Health for Key Clinical Projects (No. 2012ZX10002016). Grants from Hubei Province for Key Clinical Projects (No. 2018ACA137).

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Authors and Affiliations

  1. Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Peng Zhu, Wei Liao, Ze-yang Ding, Bin-hao Zhang, Wan-guang Zhang, Wei Zhang, Zhan-guo Zhang, Bi-xiang Zhang & Xiao-ping Chen

  2. Medical Ultrasound Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Hong-chang Luo

Authors
  1. Peng Zhu
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  2. Wei Liao
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  3. Ze-yang Ding
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  4. Hong-chang Luo
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  5. Bin-hao Zhang
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  6. Wan-guang Zhang
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  7. Wei Zhang
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  8. Zhan-guo Zhang
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  9. Bi-xiang Zhang
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  10. Xiao-ping Chen
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Contributions

P.Z. perform the operation, analysis and interpretation of data, draft and revise the article. W.L., Z.-Y.D., B.-H.Z., W.-G.Z. acquisition and analysis of data. H.-C.L.: explanation of ultrasonic data. B.-X.Z., X.-P.C.: conception and design, perform the operation.

Corresponding authors

Correspondence to Bi-xiang Zhang or Xiao-ping Chen.

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Disclosures

Peng Zhu, Wei Liao, Ze-yang Ding, Hong-chang Luo, Bin-hao Zhang, Wan-guang Zhang, Wei Zhang, Zhan-guo Zhang, Bi-xiang Zhang, Xiao-ping Chen have no conflicts of interest or financial ties to disclose.

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Zhu, P., Liao, W., Ding, Zy. et al. Intraoperative ultrasonography of robot-assisted laparoscopic hepatectomy: initial experiences from 110 consecutive cases. Surg Endosc 32, 4071–4077 (2018). https://doi.org/10.1007/s00464-017-5854-9

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  • DOI: https://doi.org/10.1007/s00464-017-5854-9

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