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Laparoscopic and Robotic Assisted Liver Surgery

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Can liver resections be done laparoscopically?


Yes. A good number of these cases can be done using the minimally invasive techniques, i.e. by making very small incisions (5-10 mm) for introducing instruments to allow dissection. However, it is important to note that not all cases lend themselves to a laparoscopic resection and that decisions have to be made on a case by case basis. Dr. Singh is one of the few surgeons in the United States doing these major surgeries laparoscopically and was invited to speak at the 93rd Annual Clinical Congress of the American College of Surgeons on Laparoscopic Liver Resections.

Minimally invasive techniques can used for some of the following surgeries:


  • Wedge Resection of the Liver
  • Sectionectomy of the Liver
  • Right/Left Hepatectomy
  • Removal of Benign Liver Masses
  • Liver Cyst Excisions
  • Radiofrequency or Microwave ablation 
  • Roux- en- Y procedure
  • Cholecystectomy (Removal of the Gall Bladder)
  • Exploration of the Bile Ducts

Advantages of Laparoscopic Surgery include:


  • Small incisions means smaller scars
  • Significantly Less pain and postoperative discomfort
  • Shorter hospital stay
  • Shorter recovery time
  • Returning back to full activities sooner

Can liver surgery be done using Robotic Technology?


Yes. Robotic technology offers all the advantages of minimally invasive surgery without the technical challenges of a conventional laparoscopic approach.  Plus, robotic technology shows the surgical field in 3-D, which allows greater precision than the 2-D laparoscopic view. Once again, decisions are made on a on a case by case basis upon reviewing the scans and making sure we are not compromising on the quality of the cancer operation. At the Liver and Pancreas Center, we are using the Da Vinci Robotic Surgical System to perform these surgeries.

Bloodless/ Transfusion Free Surgery


As far as possible we try to minimize the possibility of using blood or blood products. As remote as it may seem, blood can never be considered 100% safe. Despite all the state of the art tests done on the transfusion units there is always a theoretical possibility of transmission of an unknown organism. Dr. Singh, has published extensively on “blood conservation” and “transfusion free surgeries”, and continues to remain an important focus.
 

 

Related Links:

Laparoscopic Pancreatic Surgery 
What is a Liver Resection? 
What is RFA or MWA for tumors?