Our initial experience with robotic hepato-biliary-pancreatic surgery

Go Wakabayashi, Akira Sasaki, Satoshi Nishizuka, Toshiharu Furukawa, Masaki Kitajima

Research output: Contribution to journalReview articlepeer-review

38 Citations (Scopus)


Background The authors performed Asia's first robotic surgery in March 2000 and a clinical trial was launched in the following year in order to obtain governmental approval for the da Vinci® Surgical System. Methods Fifty-two robotic surgeries were performed at Keio University Hospital, of which the authors performed 28 hepato-biliary-pancreatic surgeries. Results In robotic laparoscopic cholecystectomy, articulated monopolar electrocautery scalpels are flexible, enabling precise dissection around the gall bladder and clipless ligation of the cystic artery and cystic ducts. For laparoscopic hepatectomy, hepatic parenchyma was safely resected without hemorrhage by Glisson's pedicles ligation and bipolar hemostatic forceps. Conclusions We review robotic laparoscopic cholecystectomy and hepatectomy and discuss the potential and future outlook for robotic hepato-biliary-pancreatic surgery.

Original languageEnglish
Pages (from-to)481-487
Number of pages7
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Issue number4
Publication statusPublished - 2011 Jul


  • Computer technology
  • Da vinci®
  • Laparoscopic cholecystectomy
  • Laparoscopic hepatectomy
  • Robotics

ASJC Scopus subject areas

  • General Medicine


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