Papers at MIRA Describe Experiences in Liver Surgery Techniques
By John J. Otrompke, JD
Speakers at this year’s MIRA conference in Rome commented on difficulties inherent in liver procedures, and how robotic surgical technology can be used to gain an advantage in the tricky procedures.
Operating in the context of colon cancer which has metastasized to the liver can be especially difficult, according to one paper, ‘Robotic Minimally-Invasive Short-Interval Staged Approach to Synchronous Colon Cancer and Liver Metastases,’ by O. Mansouri and colleagues.
The paper noted that simultaneously resecting the liver in cases of colon cancer leads to a higher mortality. Mortality is between 7 and 12% when the resections are done simultaneously, versus 2% when staged resections are done. Further, mortality reaches 24% when the simultaneous liver resection is a major hepatectomy, according to the abstract.
The abstract noted that one patient, who received both operations with a Da Vinci surgical system on a short-interval basis, was mobiled the day after the operation, began oral feeding the second day afterward, was discharged on the 11th day after the operation in excellent condition.
Another abstract, by F.M. Bianco and colleagues, discussed a five-trocar technique in respect to data from 47 patients. The abstract noted that new tools are needed for liver procedures.
Both abstracts were by a surgical team operating at the University of Illinois at Chicago.
Speakers at this year’s MIRA conference in Rome commented on difficulties inherent in liver procedures, and how robotic surgical technology can be used to gain an advantage in the tricky procedures.
Operating in the context of colon cancer which has metastasized to the liver can be especially difficult, according to one paper, ‘Robotic Minimally-Invasive Short-Interval Staged Approach to Synchronous Colon Cancer and Liver Metastases,’ by O. Mansouri and colleagues.
The paper noted that simultaneously resecting the liver in cases of colon cancer leads to a higher mortality. Mortality is between 7 and 12% when the resections are done simultaneously, versus 2% when staged resections are done. Further, mortality reaches 24% when the simultaneous liver resection is a major hepatectomy, according to the abstract.
The abstract noted that one patient, who received both operations with a Da Vinci surgical system on a short-interval basis, was mobiled the day after the operation, began oral feeding the second day afterward, was discharged on the 11th day after the operation in excellent condition.
Another abstract, by F.M. Bianco and colleagues, discussed a five-trocar technique in respect to data from 47 patients. The abstract noted that new tools are needed for liver procedures.
Both abstracts were by a surgical team operating at the University of Illinois at Chicago.
posted by John J. Otrompke | 9:00 AM
<< Home