{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T02:01:30Z","timestamp":1774922490792,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To present three cases of totally robotic ALPPS in cirrhotic patients with HCC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was \u22649 and tumour size between 90 and 140\u00a0mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30\u00a0h and of stage 2 was 4:37\u00a0h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2238","type":"journal-article","created":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T01:49:43Z","timestamp":1612144183000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Total robotic ALPPS approach for hepatocellular carcinoma in cirrhotic liver"],"prefix":"10.1002","volume":"17","author":[{"given":"Eduardo de Souza M.","family":"Fernandes","sequence":"first","affiliation":[{"name":"Department of Hepatopancreatobiliary and Transplant Surgery Rio de Janeiro Federal University  Rio de Janeiro Brazil"},{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0777-4530","authenticated-orcid":false,"given":"Fernando","family":"de Barros","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8326-069X","authenticated-orcid":false,"given":"Paolo","family":"Magistri","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery and Liver Transplant Maranh\u00e3o Federal University  S\u00e3o Lu\u00eds Brazil"},{"name":"Hepatopancreatobiliary Surgery and Transplant Modena University Hospital  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefano","family":"Di Sandro","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery and Liver Transplant Maranh\u00e3o Federal University  S\u00e3o Lu\u00eds Brazil"},{"name":"Hepatopancreatobiliary Surgery and Transplant Modena University Hospital  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo","family":"Rezende de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe","family":"Roza da Silva","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronaldo O.","family":"Andrade","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leandro S.","family":"Pimentel","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila L.","family":"Gir\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Pedreira de Mello","sequence":"additional","affiliation":[{"name":"Department of Surgery San Lucas Hospital  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7398-5395","authenticated-orcid":false,"given":"Orlando Jorge M.","family":"Torres","sequence":"additional","affiliation":[{"name":"Department of Hepatopancreatobiliary Surgery and Liver Transplant Maranh\u00e3o Federal University  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"Di Benedetto","sequence":"additional","affiliation":[{"name":"Hepatopancreatobiliary Surgery and Transplant Modena University Hospital  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2018.03.019"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-67202013000100009"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31824856f5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2020.04.009"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-018-0596-3"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000947"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318265ff2e"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2016.10.004"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-018-04092-x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25018"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn.2018.03.10"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.25477"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.05.005"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.09.025"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2015.10.001"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-08027-x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-017-1713-0"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001449"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001087"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2016.07.039"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003682"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350617697187"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.21037\/tgh.2018.08.05"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2018.10.003"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-4000-1"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2014.0455"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2018.0039"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2020.0563"}],"container-title":["The International Journal of Medical Robotics and Computer Assisted Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.2238","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcs.2238","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcs.2238","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T18:47:11Z","timestamp":1693421231000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.2238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1002\/rcs.2238"],"URL":"https:\/\/doi.org\/10.1002\/rcs.2238","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2020-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2238"}}