Akademik Veri Yönetim Sistemi
Current Surgery Reports, cilt.13, sa.1, 2025 (ESCI, Scopus)
Purpose of Review: Robotic hepatectomy has gained popularity in recent years as an advanced form of minimally invasive liver surgery. This review aims to assess the current literature on robotic liver resection and its clinical efficacy, patient selection criteria, perioperative and oncologic outcomes, as well as its integration with evolving technologies and its limitations. Recent Findings: Robotic hepatectomy offers several advantages over conventional laparoscopy, including 3D high-definition imaging, tremor elimination, and enhanced instrument articulation. Meta-analyses report comparable or improved perioperative outcomes compared to open or laparoscopic surgery, with reduced blood loss, shorter hospital stays, and low conversion rates. Technologies like indocyanine green (ICG) fluorescence and intraoperative 3D ultrasound are expanding the applicability of robotic liver resections to more complex cases. While the cost and learning curve remain challenges, emerging data suggest increasing efficiency and broader clinical adoption. Summary: Robotic liver surgery has rapidly evolved into a reliable and minimally invasive option for both benign and malignant hepatobiliary pathologies. It offers perioperative advantages and comparable oncologic outcomes, particularly in anatomically challenging segments. Although high costs and a steep learning curve remain limiting factors, continued technological development and experience may soon enhance its role in hepatobiliary surgery.