由于肝脏的重要功能和复杂性,因此需要在手术中仔细处理。传统开腹肝切除术,虽然标准,是侵入性的,需要很长的恢复期。腹腔镜肝切除术是一种侵入性较小的选择,有自己的挑战。机器人手术的兴起,例如达芬奇®系统,提高精度和控制,解决传统方法的局限性,但带来了新的担忧,比如成本和培训。这篇综述集中在2022/23文章中机器人肝切除术的最新进展,深入研究诸如“肝移植中的机器人手术”之类的主题,机器人肝切除术治疗肝门部胆管癌,肝切除术后的机器人血管重建,机器人重复肝切除术,机器人肝切除术的“和”前瞻性试验。\"要检索文章,使用PubMed对2022/23年的文章进行了重点文献检索,使用5年过滤器,不包括评论。最初,摘要经过筛选,和有关机器人手术的相关文章进行了全面检查,以纳入本综述。尽管以上所有项目都是尖端的,许多参考文献必须在病例报告级别,最近的文章仍然伴随着手术视频,对读者有用,尤其是那些正在考虑模仿手术的外科医生。总之,我们研究了机器人肝切除术的最新进展。包含呈现新技术的视频有助于知识转移。我们预计这一研究领域的持续增长。
The liver requires careful handling intra-operatively owing to its vital functions and complexity. Traditional open hepatectomy, while standard, is invasive and requires long recovery periods. Laparoscopic hepatectomy is a less invasive option, with its own challenges. The rise of robotic surgery, such as the da Vinci® system, improves precision and control, addressing the limitations of conventional methods, but brings new concerns, such as costs and training. This
review focuses on the latest advancements in robotic hepatectomy from 2022/23 articles, delving into topics like \"robotic surgery in liver transplantation,\" \"robotic hepatectomy for hilar cholangiocarcinoma,\" \"robotic vascular reconstruction following hepatectomy,\" \"robotic repeat hepatectomy,\" and \"prospective trials in robotic hepatectomy.\" To retrieve articles, a focused literature search was conducted using PubMed for articles from 2022/23 with a 5-year filter, excluding reviews. Initially, abstracts were screened, and relevant articles on robotic surgery were examined in full for inclusion in this
review. Although all the above items are cutting-edge, and many of the references are necessarily at the level of case reports, recent articles are still accompanied by surgical videos, which are useful to readers, especially surgeons who are considering imitating the procedures. In summary, we examined the recent advancements in robotic liver resection. The inclusion of videos that present new techniques aids in knowledge transfer. We anticipate the continued growth of this field of research.