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Labadie et al. Hepatoma Res 2020;6:65 Hepatoma Research
DOI: 10.20517/2394-5079.2020.86

Editorial Open Access

Robotic-assisted laparoscopic liver resection in
hepatocellular carcinoma

Kevin P. Labadie , James O. Park , Jonathan G. Sham 1,2
1
1,2
1 Department of Surgery, University of Washington, Seattle, WA 98195, USA.
2 Center for Advanced Minimally Invasive Liver Oncologic Therapies (CAMILOT), University of Washington, Seattle, WA 98195,
USA.

Correspondence to: Dr. Jonathan G. Sham, Department of Surgery, University of Washington, 1959 Pacific St. NE, Seattle, WA
98195, USA. E-mail: jsham@uw.edu
How to cite this article: Labadie KP, Park JO, Sham JG. Robotic-assisted laparoscopic liver resection in hepatocellular carcinoma.
Hepatoma Res 2020;6:65. http://dx.doi.org/10.20517/2394-5079.2020.86
Received: 18 Aug 2020 Accepted: 25 Aug 2020 Published: 12 Sep 2020

Academic Editor: Ho-Seong Han Copy Editor: Cai-Hong Wang Production Editor: Jing Yu

Over the past 20 years the use of laparoscopy has revolutionized hepatic surgery and, in recent years,
Received: First Decision: Revised: Accepted: Published:
robotic assistance to the laparoscopic approach has been explored by some centres. Since its approval,
[1,2]
Science Editor: Copy Editor: Production Editor: Jing Yu there has been a prodigious increase in robotic utilization for surgical operations worldwide . As its use
continues to increase, assessment of efficacy and outcomes is an area of active study.

Preliminary inquiries into robotic-assistance in surgical procedures began in the late 1980s with a robot
[3]
designed to perform neurosurgical biopsies with improved precision . Innovation accelerated shortly
thereafter as multiple governmental organizations, including the United States Army and National Air
and Space Administration, became interested in telesurgery - the capability for a surgeon to operate on
[4,5]
a physically distanced patient using a robotic interface . Expertise and technology devised from these
efforts later facilitated development of commercial robotic surgical systems for civilian use, including the
[8]
[6]
[7]
[10]
[9]
ROBODOC , AESOP system , Zeus , ARTEMIS and the da Vinci Surgical System .
Currently, the most widely used robotic platform worldwide is the da Vinci Surgical system, first approved
for use in general laparoscopic surgery by European regulatory agencies in 1999, followed shortly
thereafter by the United States Food and Drug Administration in 2000. Initially reserved for smaller
operations such as cholecystectomy, the robot is now used for a wide variety of operations ranging from
inguinal herniorrhaphy to major hepatectomy. Many surgeons perceive advantages when using robotic
systems, which may explain this increased utilization . These include wristed articulated instruments,
[11]

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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