Microfracture-coagulation for the real robotic liver parenchymal transection
The use of the robotic approach in liver surgery is exponentially increasing. Although technically the robot introduces several innovative features, the instruments linked with the traditional laparoscopic approach for the liver parenchymal transection are not available, which may result in multiple...
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Veröffentlicht in: | Journal of robotic surgery 2024-02, Vol.18 (1), p.101, Article 101 |
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creator | Navinés-López, Jordi Pardo Aranda, Fernando Cremades Pérez, Manel Espin Álvarez, Francisco Zárate Pinedo, Alba Cugat Andorrà, Esteban |
description | The use of the robotic approach in liver surgery is exponentially increasing. Although technically the robot introduces several innovative features, the instruments linked with the traditional laparoscopic approach for the liver parenchymal transection are not available, which may result in multiple technical variants that may bias the comparative analysis between the different series worldwide. A real robotic approach, minimally efficient for the liver parenchymal transection, with no requirement of external tool, available for the already existing platforms, and applicable to any type of liver resection, counting on the selective use of the plugged bipolar forceps and the monopolar scissors, or “microfracture-coagulation” (MFC) transection method, is described in detail. The relevant aspects of the technique, its indications and methodological basis are discussed. |
doi_str_mv | 10.1007/s11701-024-01842-9 |
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Although technically the robot introduces several innovative features, the instruments linked with the traditional laparoscopic approach for the liver parenchymal transection are not available, which may result in multiple technical variants that may bias the comparative analysis between the different series worldwide. A real robotic approach, minimally efficient for the liver parenchymal transection, with no requirement of external tool, available for the already existing platforms, and applicable to any type of liver resection, counting on the selective use of the plugged bipolar forceps and the monopolar scissors, or “microfracture-coagulation” (MFC) transection method, is described in detail. 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Although technically the robot introduces several innovative features, the instruments linked with the traditional laparoscopic approach for the liver parenchymal transection are not available, which may result in multiple technical variants that may bias the comparative analysis between the different series worldwide. A real robotic approach, minimally efficient for the liver parenchymal transection, with no requirement of external tool, available for the already existing platforms, and applicable to any type of liver resection, counting on the selective use of the plugged bipolar forceps and the monopolar scissors, or “microfracture-coagulation” (MFC) transection method, is described in detail. The relevant aspects of the technique, its indications and methodological basis are discussed.</description><subject>Body mass index</subject><subject>Coagulation</subject><subject>Colorectal cancer</subject><subject>Comorbidity</subject><subject>Fractures, Stress</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Innovations</subject><subject>Laparoscopy</subject><subject>Learning curves</subject><subject>Liver</subject><subject>Liver - surgery</subject><subject>Medical instruments</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastasis</subject><subject>Microfracture</subject><subject>Minimally Invasive Surgery</subject><subject>Mortality</subject><subject>Patient positioning</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Robots</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Urology</subject><issn>1863-2491</issn><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqXwAyxQJDZsDH7EcbJEFS-piA2sLccZt6nSuNgJUv8etykPsWBlS3PundFB6JySa0qIvAmUSkIxYSkmNE8ZLg7QmOYZxywt6OGv_widhLAkREjB6TEa8UhTwfgYzZ5r45312nS9B2ycnveN7mrXJtb5pFtA4kE3iXel62qTNPUH-GStPbRmsVnFSed1G8BsI6foyOomwNn-naC3-7vX6SOevTw8TW9n2KS06LAFYVgu4gFllRFCrbBZnudVaayxkLKKyUybsmSWaslZJljKJeOZtQwqm2s-QVdD79q79x5Cp1Z1MNA0ugXXB8UKztOMFIWM6OUfdOl638brdhSXIm6OFBuo6CIED1atfb3SfqMoUVvXanCtomu1c62KGLrYV_flCqrvyJfcCPABCHHUzsH_7P6n9hNcdYo5</recordid><startdate>20240229</startdate><enddate>20240229</enddate><creator>Navinés-López, Jordi</creator><creator>Pardo Aranda, Fernando</creator><creator>Cremades Pérez, Manel</creator><creator>Espin Álvarez, Francisco</creator><creator>Zárate Pinedo, Alba</creator><creator>Cugat Andorrà, Esteban</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240229</creationdate><title>Microfracture-coagulation for the real robotic liver parenchymal transection</title><author>Navinés-López, Jordi ; 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Although technically the robot introduces several innovative features, the instruments linked with the traditional laparoscopic approach for the liver parenchymal transection are not available, which may result in multiple technical variants that may bias the comparative analysis between the different series worldwide. A real robotic approach, minimally efficient for the liver parenchymal transection, with no requirement of external tool, available for the already existing platforms, and applicable to any type of liver resection, counting on the selective use of the plugged bipolar forceps and the monopolar scissors, or “microfracture-coagulation” (MFC) transection method, is described in detail. The relevant aspects of the technique, its indications and methodological basis are discussed.</abstract><cop>London</cop><pub>Springer London</pub><pmid>38421523</pmid><doi>10.1007/s11701-024-01842-9</doi><oa>free_for_read</oa></addata></record> |
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subjects | Body mass index Coagulation Colorectal cancer Comorbidity Fractures, Stress Hepatectomy Humans Innovations Laparoscopy Learning curves Liver Liver - surgery Medical instruments Medicine Medicine & Public Health Metastasis Microfracture Minimally Invasive Surgery Mortality Patient positioning Robotic surgery Robotic Surgical Procedures - methods Robotics Robots Surgeons Surgery Urology |
title | Microfracture-coagulation for the real robotic liver parenchymal transection |
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