LAPAROSCOPIC AND ROBOTIC SURGERY: PATHWAYS TO IMPROVING LIVER ECHINOCOCCOSIS PERIOPERATIVE RESULTS (ORIGINAL ARTICLE)
https://doi.org/10.17238/issn2072-3180.2021.1.34-38
Abstract
Background. The steady development of modern minimally invasive technologies makes it possible to use laparoscopic and robotic methods of treatment for liver echinococcosis.
Material and methods: Since 2018, in the surgical clinic of the Botkin Hospital, laparoscopic and robotic interventions in the volume of pericystectomy and liver resection have been used for liver echinococcosis. During the period from February 2018 to November 2020, 8 minimally invasive interventions were performed: 5 laparoscopic and 3 robotic. The study assessed postoperative complications according to the Clavien–Dindo classification, specific complications according to ISGLS, and relapses during the first year after surgery.
Results. Comparing immediate and long-term results, no differences were found in the duration of the operation, the frequency of transfusion of blood components, the incidence of severe postoperative complications (class III and more according to Clavien–Dindo), the presence of specific complications according to the ISGLS classification. Minimally invasive operations were accompanied by statistically significantly less blood loss compared to open ones: 54 (0–270) ml and 157 (70–560) ml (p <0.001), respectively, as well as shorter inpatient treatment: 4 (1–6) and 12 (7–35) days (p <0.001).
Conclusion. Thus, laparoscopic and robotic technologies are gradually finding their place in the attraction of hydatide liver lesions. These modifications of traditional surgical procedures reduce the number and severity of postoperative complications and improve treatment results.
About the Authors
A. V. Shabunin
Botkin Hospital; Russian Medical Academy of Postgraduate Study, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Сorresponding Member, MD, Head of the Department of surgery department RMACPS, clinic chief
5, 2-nd Botkinsky pr., Moscow, 125284
V. V. Bedin
Botkin Hospital; Russian Medical Academy of Postgraduate Study, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
PhD in Medicine, Chief of Surgical Department, associate professor surgery deparment RMACPS, head of surgical department
5, 2-nd Botkinsky pr., Moscow, 125284
M. M. Tavobilov
Botkin Hospital; Russian Medical Academy of Postgraduate Study, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
PhD in Medicine, associate professor surgery deparment RMACPS, head of the department of liver and pancreas surgery
5, 2-nd Botkinsky pr., Moscow, 125284
S. S. Lebedev
Botkin Hospital; Russian Medical Academy of Postgraduate Study, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
PhD in Medicine, Associate Professor of Surgery Department RMACPS, HPB surgeon, head of the department of ambulatory oncology
5, 2-nd Botkinsky pr., Moscow, 125284
A. A. Karpov
Botkin Hospital
Russian Federation
Russian Federation
PhD in Medicine, HPB surgeon, HPB department
5, 2-nd Botkinsky pr., Moscow, 125284
A. V. Lantsynova
Botkin Hospital
Russian Federation
Russian Federation
HPB surgeon, HPB department
5, 2-nd Botkinsky pr., Moscow, 125284
References
1. Katkhouda N., Fabiani P., Benizri E., Mouiel J. Laser resection of a liver hydatid cyst under videolaparoscopy. British journal of surgery, 1992, V. 79, No. 6, рр. 560–561. https://doi.org/110.1002/bjs.1800790628
2. Tuxun T., Zhang J.H., Zhao J.M., Tai Q.W., Abudurexti M., Ma H.Z., Wen H. World review of laparoscopic treatment of liver cystic echinococcosis — 914 patients. International Journal of Infectious Diseases, 2014, No. 24, рр. 43–50. https://doi.org/10.1016/j.ijid.2014.01.012
3. Giulianotti P.C., Coratti A., Sbrana F., Addeo P., Bianco F.M., Buchs N.C., Benedetti E. Robotic liver surgery: results for 70 resec tions. Surgery, 2011, V. 149, No. 1, рр. 29–39. https://doi.org/10.1016/j.surg.2010.04.002
4. Zhao Z.M., Yin Z.Z., Meng Y., Jiang N., Ma Z.G., Pan L.C., Liu R. Successful robotic radical resection of hepatic echinococcosis located in posterosuperior liver segments. World journal of gastroenterology. 2020, V. 26, No. 21, p. 2831. https://doi.org/10.3748/wjg.v26.i21.2831.
5. Ibrahim I., Tuerdi M., Zou X., Wu Y., Yasen A., Abihan Y., Tuxun T. Laparoscopic versus open surgery for hepatic cystic echinococcosis: a systematic review and meta-analysis. International J. of Clinical and Experimental Medicine. 2017. V. 10, No. 12, pp. 16788–16797.
6. Busic Z., Cupurdija K., Servis D., Kolovrat M., Cavka V., Boras Z., Busic N. Surgical treatment of liver echinococcosis - open or laparoscopic surgery? Collegium antropologicum, 2012. V. 36, No. 4, pp. 1363–1366. PMID: 23390834
7. Casciola L., Patriti A., Ceccarelli G., Bartoli A., Ceribelli C., Spaziani A. Robot-assisted parenchymal-sparing liver surgery including lesions located in the posterosuperior segments. Surgical endoscopy, 2011, V. 25, No. 12, pp. 3815–3824. https://doi.org/10.1007/s00464-011-1796-9
8. Di Benedetto F., Ballarin R., Tarantino G. Totally robotic isolated caudate-lobe liver resection for hydatid disease: report of a case. The International Journal of Medical Robotics and Computer Assisted Surgery, 2016, V. 12, No. 2, pp. 254–261. https://doi.org/10.1002/rcs.1685
9. Troisi R.I., Patriti A., Montalti R., Casciola L. Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi-institutional analysis. The International Journal of Medical Robotics and Computer Assisted Surgery. 2013. V. 9, No. 2, pp. 160–166. https://doi.org/10.1002/rcs.1495. Epub. 2013 Mar. 21.
10. Magistri P., Pecchi A., Franceschini E., Pesi B., Guadagni S., Catellani B., Ballarin R. Not just minor resections: robotic approach for cystic echinococcosis of the liver. Infection. 2019, V. 47, No. 6, pp. 973–979. https://doi.org/10.1007/s15010-019-01333-2
11. Clavien P.A., Barkun J., De Oliveira M.L., Vauthey J.N., Dindo D., Schulick R.D., Graf R. The Clavien–Dindo classification of surgical complications: five-year experience. Annals of surgery. 2009, V. 250, No. 2, pp. 187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2.
12. Rahbari N.N., Garden O.J., Padbury R., Brooke-Smith M., Crawford M., Adam R., Koch M., Makuuchi M., Dematteo R.P., Christophi C., Banting S., Usatoff V., Nagino M., Maddern G., Hugh T.J., Vauthey J.N., Greig P., Rees M., Yokoyama Y.Y., Fan S.T., Nimura Y., Figueras J., Capussotti L., Büchler M.W., Weitz J. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery. 2011, May.; 149 (5):713–24. https://doi.org/10.1016/j.surg.2010.10.001. Epub. 2011 Jan. 14. PMID: 21236455.
Review
For citations:
Shabunin A.V., Bedin V.V., Tavobilov M.M., Lebedev S.S., Karpov A.A., Lantsynova A.V. LAPAROSCOPIC AND ROBOTIC SURGERY: PATHWAYS TO IMPROVING LIVER ECHINOCOCCOSIS PERIOPERATIVE RESULTS (ORIGINAL ARTICLE). Moscow Surgical Journal. 2021;(1):34-38. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.1.34-38
Views:
577
Email this article 