Publications by authors named "G O Wakabayashi"
Background/purpose: The Japanese public health insurance system has recently covered robotic pancreaticoduodenectomy (RPD). This study aimed to review the results of RPD during the introductory period and elucidate its safety and feasibility in Japan.
Methods: Consecutive data of 425 patients who underwent RPD were retrospectively collected from 10 high-volume centers in Japan between April 2020 and September 2022.
Article Synopsis
- The use of percutaneous cholecystostomy (PC) for treating acute cholecystitis (AC) has increased due to an aging population and supportive guidelines, prompting a need for clearer management protocols.
- An international consensus was developed through a two-round Delphi survey with 27 questions, and participants aimed for a minimum 70% agreement on the management of PCs.
- Out of these, six key recommendations were established, including the timing of PC implementation and the need for cholangiography before PC removal, highlighting the necessity for comprehensive guidelines on PC management in AC patients.
Article Synopsis
- A study was conducted to compare robotic minor liver resections (RMLR) with laparoscopic minor liver resections (LMLR) in patients undergoing surgery on the anterolateral liver segments.
- The analysis included over 10,000 patients and employed propensity score matching to balance the groups for accuracy in comparisons.
- Results indicated RMLR had benefits like less blood loss, lower major morbidity, and shorter hospital stays than LMLR, although the difference in 30-day readmission rates suggested RMLR may have some drawbacks.
Background: Robotic surgery has emerged as a promising approach for managing complex hepatic malignancies. This report presents a case of a single-port robotic liver resection for a patient with recurrent hepatocellular carcinoma (HCC) and metastases, focusing on the surgical technique and outcomes.
Method: An 18-year-old female with a history of left hepatectomy for fibrolamellar HCC underwent robotic liver resection using the Da Vinci SP Surgical System.