PDF(Pubmed)
Abstract：
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.
摘要：
机器人方法在肝脏手术中的使用呈指数增长。尽管从技术上讲，机器人引入了几个创新功能，与传统腹腔镜肝实质切断术相关的器械不可用，这可能会导致多种技术变体，从而可能会在全球范围内不同系列之间进行比较分析。真正的机器人方法，肝脏实质横切的最低效率，不需要外部工具，可用于现有平台，适用于任何类型的肝切除术，依靠选择性使用堵塞的双极镊子和单极剪刀，或“微骨折-凝固”(MFC)横切法，详细描述了。该技术的相关方面，讨论了其适应症和方法基础。
