Robotic donor hepatectomy for living donor liver transplantation

Dieter C Broering; Enrico Prosperi; Dimitri A Raptis

doi:10.1007/s13304-024-01932-1

Robotic donor hepatectomy for living donor liver transplantation

Updates Surg. 2024 Sep 18. doi: 10.1007/s13304-024-01932-1. Online ahead of print.

Authors

Dieter C Broering^{1

2}, Enrico Prosperi^{3

4}, Dimitri A Raptis³

Affiliations

¹ Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, 11211, Riyadh, Saudi Arabia. [email protected].
² Faculty of Medicine, Alfaisal University, Riyadh, Saudi Arabia. [email protected].
³ Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, 11211, Riyadh, Saudi Arabia.
⁴ Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

PMID: 39292409
DOI: 10.1007/s13304-024-01932-1

Abstract

Robotic donor hepatectomy introduces a new era in living donor liver transplantation (LDLT), combining advancements in minimally invasive surgery with superior precision and ergonomics. The beginning of LDLT in 1989 aimed to address the scarcity of deceased donor livers, a situation intensified by the technical and ethical challenges associated with this procedure. The integration of robotic systems since 2010s has broadened the scope and impact of liver transplantation, enhancing outcomes significantly for both donors and recipients. This review discusses the significant advancements in robotic surgery, the ongoing challenges such as cost and training needs, and the future toward global standardization and the integration of artificial intelligence. As this technology continues to evolve, it holds the potential to become the new global standard, ensuring safer procedures and enhanced outcomes for patients worldwide.

Keywords: AI; Artificial intelligence; Ethical considerations; Future perspective; Innovation; LDLT; Living donor liver transplantation; Outcomes; Robotic donor hepatectomy; Surgical training.