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Tampa Minimally Invasive (Robotic) Liver Resection

Team of doctors at Florida Hospital Tampa Digestive Health Institute always strive to perform liver resections in a minimally invasive fashion because of its proven clinical advantages and equal oncologic outcomes when compared with the traditional open liver resection. Minimally invasive liver resection is recommended mostly based on tumor location, size, and proximity to major vascular/biliary structures. Fast majority of liver resections at Florida Hospital Tampa are performed minimally invasively using the robotic system.

As leaders in minimally invasive surgery regionally and nationally, our surgeons can remove large sized benign or malignant liver tumors through small incisions, instead of a large open incision.

How Robotic Operation for Liver Tumors is Performed

The liver consists of two lobes (right and left), which are further subdivided into eight segments. The principle of liver resection is to remove tumor with negative margins, while preserving enough functional remaining liver. Blood vessels (in and out of the liver) and bile duct must be kept intact for successful outcomes. Liver tumors which are located in the periphery can usually be removed with wedge resection. Larger tumors or tumors that are located deeper in the liver often time require a formal right or left hepatic lobectomy. All of these type of liver resection can be performed with robotic Da Vinci system. Minimally invasive liver resection is always recommended over the traditional open method whenever technically feasible.

Liver is the only organ in human body that can regenerate. Most patients can tolerate resection up to 70% of their liver volume. The remaining part of the liver regrows (hypertrophy) within 3 weeks. Even patients who are being treated with chemotherapy for their primary tumors or other malignancies can tolerate liver resection very well.

Robotic Liver Resection Incisions

Robotic Liver Resection Abdominal View

Traditional Open Liver Resection Incision

Traditional Open Liver Resection Operative View

Advantages of Minimally Invasive Liver Resection

  1. Faster recovery – Most patients leave the hospital within 3 days following their liver resection. Cardiac and pulmonary complications are significantly lower with minimally invasive technique. Faster recovery from liver resection also translates into an earlier administration of chemotherapy in patients who need additional systemic treatment.
  1. Reduced blood loss – Most liver resections only result in less than 100cc of blood loss. Blood transfusion is rarely needed, even in major liver resection cases.
  1. Less pain – Most patients experience minimal pain and require minimal narcotics even after a major liver resection.
  1. Less wound infection – Because a large open incision is avoided, probability of having surgical wound infection is significantly lower (<1%) when compared to open liver resection.
  1. Less hernia formation – Small incisions heal with significantly lower chance of developing incisional hernia. The best way of preventing hernia formation is to avoid creating a large open incision, such as in the traditional open liver resection.
  1. Better cosmesis – Small incisions completely heal with minimal scar.

What to Expect After Minimally Invasive Liver Resection

1. Postoperative recovery – Majority of patients are managed on surgical floor which is staffed by a team of trained medical and surgical professionals. They are nurses, nurse practitioner, surgical fellows (board certified surgeons who pursue subspeciality experience in hepatopancreatobiliary surgery)

2. Duration of hospital stay – Average ≤ 3 days

  • 3. Follow up care – Patients are seen in about 2 weeks after the liver resection. In the office (Life hope medical building) , your surgeons will examine the incisions, evaluate postoperative progress, level of pain, diet tolerance, discuss any additional treatment if needed, and discuss long-term follow-up plan.

Videos of Robotic Operations

Robotic Esophagectomy

Robotic Gastrectomy

Robotic Whipple/Pancreatectomy

Robotic Distal Pancreatectomy

Ross Rosemurgy News Channel 8

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Sharona Ross, M.D. - Tampa Laparoscopic Surgeon
Located at 3000 Medical Park Dr, Suite 500 Tampa, FL 33613. View Map
Phone: (813) 615-7030
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