Successful Robotic Radical Resection of Hepatic Echinococcosis Located in Posterosuperior Liver Segments

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2020 Jun 20

PMID 32550758

Citations 16

Authors

Zhi-Ming Zhao

Zhu-Zeng Yin

Yuan Meng

Nan Jiang

Zhi-Gang Ma

Li-Chao Pan

Xiang-Long Tan

Xiong Chen

Rong Liu

Affiliations

Soon will be listed here.

Abstract

Background: Radical resection is an important treatment method for hepatic echinococcosis. The posterosuperior segments of the liver remain the most challenging region for laparoscopic or robotic hepatectomy.

Aim: To demonstrate the safety and preliminary experience of robotic radical resection of cystic and alveolar echinococcosis in posterosuperior liver segments.

Methods: A retrospective analysis was conducted on the clinical data of 5 patients with a median age of 37 years (21-56 years) with cystic and alveolar echinococcosis in difficult liver lesions admitted to two centers from September to December 2019. The surgical methods included total pericystectomy, segmental hepatectomy, or hemihepatectomy.

Results: Among the 5 patients, 4 presented with cystic echinococcosis and 1 presented with alveolar echinococcosis, all of whom underwent robotic radical operation successfully without conversion to laparotomy. Total caudate lobectomy was performed in 2 cases, hepatectomy of segment VII in 1 case, total pericystectomy of segment VIII in 1 case, and right hemihepatectomy in 1 case. Operation time was 225 min (175-300 min); blood loss was 100 mL (50-600 mL); and postoperative hospital stay duration was 10 d (5-19 d). The Clavien-Dindo complication grade was I in 4 cases and II in 1 case. No recurrence of echinococcosis was found in any patient at the 3 mo of follow-up.

Conclusion: Robotic radical surgery for cystic and selected alveolar echinococcosis in posterosuperior liver segments is safe and feasible.

Citing Articles

A Study on Staging Cystic Echinococcosis Using Machine Learning Methods.

Tegshee T, Dorjsuren T, Lee S, Batjargal D Bioengineering (Basel). 2025; 12(2).

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Multicenter retrospective study on advancements in diagnosis and laparoscopic treatment of hepatic echinococcosis in Xinjiang China.

Zhang J, Zhang J, Shen X, Ma W, Wang X, Zhao P Sci Rep. 2024; 14(1):31485.

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Therapeutic Options in Hydatid Hepatic Cyst Surgery: A Retrospective Analysis of Three Surgical Approaches.

Mihetiu A, Bratu D, Neamtu B, Sabau D, Sandu A Diagnostics (Basel). 2024; 14(13).

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Primary Hydatid Cyst of the Pancreas: A Literature Review on a Rare and Challenging Occurrence of Echinococcosis.

Mihetiu A, Bratu D, Sabau D, Noor H, Sandu A Cureus. 2024; 16(5):e60797.

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Short-term and long-term outcomes after robotic versus open hepatectomy in patients with large hepatocellular carcinoma: a multicenter study.

Zhang X, Jiang N, Zhu L, Lin Z, Guo W, Chen X Int J Surg. 2023; 110(2):660-667.

PMID: 37983785 PMC: 10871596. DOI: 10.1097/JS9.0000000000000873.

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