1.Surgical techniques for robotic right donor hepatectomy, part 1: robotic hilar dissection and right lobe mobilization
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):7-12
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic hilar dissection and right lobe mobilization in right donor hepatectomy. The setup of the robotic arms, the dissection of inflow vessels and retrohepatic inferior vena cava, and the pearls and pitfalls of these two parts of the operation are detailed.
2.Surgical techniques for robotic right donor hepatectomy, part 2: robotic parenchymal transection and bile duct division
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):13-17
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic parenchymal transection and bile duct division in right donor hepatectomy. The setup of the robotic arms, methods of parenchymal transection using robotic instruments, and right hepatic duct division with the aid of indocyanine green dye are detailed, along with the pearls and pitfalls of these two parts of the operation.
3.Surgical techniques for robotic right donor hepatectomy, part 1: robotic hilar dissection and right lobe mobilization
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):7-12
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic hilar dissection and right lobe mobilization in right donor hepatectomy. The setup of the robotic arms, the dissection of inflow vessels and retrohepatic inferior vena cava, and the pearls and pitfalls of these two parts of the operation are detailed.
4.Surgical techniques for robotic right donor hepatectomy, part 2: robotic parenchymal transection and bile duct division
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):13-17
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic parenchymal transection and bile duct division in right donor hepatectomy. The setup of the robotic arms, methods of parenchymal transection using robotic instruments, and right hepatic duct division with the aid of indocyanine green dye are detailed, along with the pearls and pitfalls of these two parts of the operation.
5.Surgical techniques for robotic right donor hepatectomy, part 1: robotic hilar dissection and right lobe mobilization
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):7-12
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic hilar dissection and right lobe mobilization in right donor hepatectomy. The setup of the robotic arms, the dissection of inflow vessels and retrohepatic inferior vena cava, and the pearls and pitfalls of these two parts of the operation are detailed.
6.Surgical techniques for robotic right donor hepatectomy, part 2: robotic parenchymal transection and bile duct division
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):13-17
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic parenchymal transection and bile duct division in right donor hepatectomy. The setup of the robotic arms, methods of parenchymal transection using robotic instruments, and right hepatic duct division with the aid of indocyanine green dye are detailed, along with the pearls and pitfalls of these two parts of the operation.
7.Surgical techniques for robotic right donor hepatectomy, part 1: robotic hilar dissection and right lobe mobilization
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):7-12
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic hilar dissection and right lobe mobilization in right donor hepatectomy. The setup of the robotic arms, the dissection of inflow vessels and retrohepatic inferior vena cava, and the pearls and pitfalls of these two parts of the operation are detailed.
8.Surgical techniques for robotic right donor hepatectomy, part 2: robotic parenchymal transection and bile duct division
Yee Lee CHEAH ; Caroline J SIMON
Clinical Transplantation and Research 2024;38(1):13-17
Robotic surgery is emerging as a feasible minimally invasive approach for donor hepatectomy at specialized centers. The aim of this article is to systematically describe the surgical techniques for robotic parenchymal transection and bile duct division in right donor hepatectomy. The setup of the robotic arms, methods of parenchymal transection using robotic instruments, and right hepatic duct division with the aid of indocyanine green dye are detailed, along with the pearls and pitfalls of these two parts of the operation.
10.Comparison of Outcomes of Intra-operative Neuromonitoring of Recurrent Laryngeal Nerve Versus Visualisation Alone during Thyroidectomies: A Singapore Experience.
Yao Guang LEOW ; Caroline Cy LEE ; Jereme Y GAN ; Lilleen M HUANG
Annals of the Academy of Medicine, Singapore 2020;49(11):870-875
INTRODUCTION:
Although intra-operative neuromonitoring (IONM) has become commonly used to identify the recurrent laryngeal nerve (RLN) during thyroid surgeries, its value is still debatable. This study aimed to evaluate the outcomes of thyroid surgery using IONM versus visualisation alone (VA).
METHODS:
We conducted a retrospective analysis of all the open thyroidectomies performed by the otolaryngology department in a tertiary institution in Singapore (Khoo Teck Puat Hospital) from 1 January 2014 to 31 December 2018. There were 301 nerves-at-risk (NAR), 139 in the IONM group and 162 in the VA group. The primary outcome measure was the incidence of RLN injury and the secondary outcome measure was operative duration.
RESULTS:
There were 33 NAR with immediate post-operative RLN injury, of which 7 had permanent (>6 months) injury. There were minor improvements in the respective rates of immediate and permanent injury in the IONM group (7.9%, 0.7%) compared to the VA group (13.6%, 3.8%), but these were not statistically significant (
CONCLUSION
The current study shows that the use of intra-operative neuromonitoring shows a tendency towards better RLN outcome and operative duration for total thyroidectomies, but the study may be too small to demonstrate a statistical difference.