Publications by authors named "J S Hawksworth"
Article Synopsis
- Safe and effective liver tissue removal (parenchymal transection) is essential in hepatectomies, and robotic surgery offers various tools and techniques for this purpose.
- Key instruments include the Vessel Sealer Extend, which seals vessels but is less effective on tough livers, and the Synchroseal, which has a more delicate design but can experience efficiency issues due to char buildup.
- Other techniques like the robotic Harmonic Scalpel and ultrasonic aspirators can enhance dissection precision, though they often require skilled assistants, highlighting the importance of combining approaches for optimal results.
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.
Minimally Invasive Robotic Techniques for Hepatocellular Carcinoma Resection: How I Do It.
Surg Oncol Clin N Am
January 2024
The adoption of minimally invasive techniques for hepatocellular resection has progressively increased in North America. Cumulative evidence has demonstrated improved surgical outcomes in patients who undergo minimally invasive hepatectomy. In this review, the authors' approach and methodology to minimally invasive robotic liver resection for hepatocellular carcinoma is discussed.
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