Evolution and Outcome of First 100 Robotic Donor Hepatectomy

Abstract

Minimal invasive liver donor surgery was established as a feasible technique with comparable outcome to open liver donor surgery that was mainly for left lateral sectionectomy and left lobe resection. The limitation of conventional laparoscopy was clear in the right hepatectomy due difficult maneuvering and accessibility. Robotic approach was induced as an alternative to conventional laparoscopic approach. Few Paper was published with limited number of cases. Here we present own experience in Robotic Liver Donor Surgery in King Faisal Specialist Hospital and Research Center which the largest number of cases up to our knowledge. A total of 100 Robotic liver resection was carried from November 2018 to October 2019. Male donors 72 and female 28. Median age 27 years. Left lateral was 38, left 19 and right 43. Average hospital stay was 4 days. No mortality was recorded nor conversion. Morbidity only 8 patients mainly in the left and right lobe group. Two bile leak in the right lobe donors and one patient in the left lobe. Three patient had wound hematomas at the extraction incision (Pfannenstiel) incision, one in each group. Over all graft survival was 93%. Here was can say Robotic donor hepatectomy is safe with comparable result to open surgery with better post-operative pain and shorter hospital stay and better cosmesis. Reproducibility and learning carve need further evaluation