INTRODUCING A ROBOTIC LIVER SURGERY PROGRAM INTO AN NHS HPB SERVICE

Alessandri G; Kanwar A; Thakkar R; Robinson SR; Cavallaro G; French JJ; Manas DM; White SA

Volume : VII, Issue : VII, July - 2018

INTRODUCING A ROBOTIC LIVER SURGERY PROGRAM INTO AN NHS HPB SERVICE

Alessandri G, Kanwar A, Thakkar R, Robinson Sr, Cavallaro G, French Jj, Manas Dm, White Sa

Abstract :

Our study was to evaluate the introduction of a Robotic HPB service into an NHS service. Robotic training courses were attended first alongside International mentorship and proctoring. Prospectively collected database was created recording intra–operative and post–operative events for all patientshaving roboticliver surgery during 30month period. 11 cholecystectomies, 5 fenestrations of massive liver cysts and 5 left lateral liver resectionswere documented. Mean operating times were 90min (range40–145), 142min (90–240) and 252min (165–345) respectively. There were no intra–operative complications, conversions to open andtransfusion. Median length of hospital stay was 1day (range1–5), 1day (1–10) and 4 days (3–6) respectively. One patient experienced a post–operative complication;grade B bile leak after fenestration of a cyst. There were no readmissions and no mortality. The introduction of a robotic liver surgical program in the UK NHSis a safe, feasible step allowing continual evolution of minimally invasive liver surgery.