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Zentralbl Chir 2021; 146(06): 547-551
DOI: 10.1055/a-1293-9225
Videopaper

Roboterassistierte Hemihepatektomie rechts bei hepatozellulärem Karzinom bei nicht alkoholischer Steatohepatitis – Video der chirurgischen Technik

Robot-Assisted Right Hemihepatectomy for Hepatocellular Carcinoma
Stefan Fichtner-Feigl
Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Freiburg, Deutschland
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Zusammenfassung

Seit der Einführung der roboterassistierten Chirurgie können immer kompliziertere Operationen in dieser Technik durchgeführt werden. Auch in der hepatobiliären Chirurgie gewinnt die roboterassistierte Operation zunehmend an Bedeutung. Artikulierte und skalierte Bewegungen in einem 3-dimensionalen Operationsfeld ermöglichen eine präzise Präparation, notwendig für Majorresektionen an der Leber. Dieses Video demonstriert die Machbarkeit und Präzision der vollständig roboterassistierten Technik in der Durchführung einer Hemihepatektomie rechts bei einem hepatozellulären Karzinom (HCC) der Segmente V – VIII bei nicht alkoholischer Steatohepatitis (NASH). Der Patient ist bei Operation 72 Jahre und begleiterkrankt mit einem ausgeprägten metabolischen Syndrom.

Abstract

Since the introduction of robot-assisted surgery, increasingly complex operations have been performed with this technique. Robot-assisted operations are also of increasing importance in hepatobiliary surgery. With articulated and scaled movements in a three-dimensional surgical field, permit precise preparation, as is needed for major hepatic resection. This video demonstrates the feasibility and precision of completely robotic surgery in right hemihepatectomy in hepatocellular carcinoma (HCC) of segments V – VIII in non-alcoholic steatohepatitis (NASH). The patient was 72 years old for the operation, with concomitant marked metabolic syndrome.

Schlüsselwörter

Abdominalchirurgie - Leberchirurgie - Robotik - minimalinvasive Chirurgie

Key words

liver surgery - robotic - minimally invasive surgery


Publication History

Article published online:
07 December 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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