Management of Bleeding During Robotic Hepatectomy in the Cirrhotic Liver

Hepatectomy in the cirrhotic liver is limited by amount of parenchyma that can be resected and a more challenging parenchymal division due to fibrous scarring affecting dissection, isolation control intrahepatic vascular structures. Compared laparoscopic approach, robotic hepatectomy facilitates sparing resections with increased dexterity its instruments, while approach structures without CUSA dissector, especially livers, may lead bleeding during transection. Additionally, having primary surgeon at console requires recalibration maneuvers counter complications The purpose this presentation show discuss troubleshooting different situations transection livers using approach. Parenchymal carried out mainly combining monopolar scissors, vessel sealer device bipolar forceps for crush-clamping. management relies on Pringle maneuver, direct compression, energy barbed suturing +/- clips. PowerPoint slide short video clips will used.