{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T01:39:17Z","timestamp":1778895557395,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"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":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We have previously reported a saline\u2010linked bipolar clamp\u2010crush technique as a novel robotic liver resection method. Herein, we present the surgical techniques and outcomes of robotic left hepatectomy using the Glissonean approach and our liver transection technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The key procedures included the following: (1) encircling the left Glissonean pedicle using the Tip\u2010Up fenestrated grasper, (2) dissecting the liver parenchyma using the saline\u2010linked bipolar clamp\u2010crush technique, (3) moving the endoscope one trocar to the right to facilitate visualisation of the liver transection plane, and (4) stapling the left pedicle and left hepatic vein. Seven robotic left hepatectomies were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median operative time and estimated blood loss were 395\u00a0min and 50\u00a0mL, respectively. The median length of postoperative hospital stay was 9\u00a0days. Pneumothorax was the only severe postoperative complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Robotics left hepatectomy using the Glissonean approach and the saline\u2010linked bipolar clamp\u2010crush technique appears safe and feasible.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2674","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T13:00:20Z","timestamp":1727182820000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Robotic Left Hepatectomy Using the Glissonean Approach and Saline\u2010Linked Bipolar Clamp\u2010Crush Technique"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3479-0616","authenticated-orcid":false,"given":"Masatoshi","family":"Kajiwara","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery Faculty of Medicine Fukuoka University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigetoshi","family":"Naito","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Faculty of Medicine Fukuoka University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahide","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Faculty of Medicine Fukuoka University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Faculty of Medicine Fukuoka University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suguru","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery Faculty of Medicine Fukuoka University  Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn.2017.01.14"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v25.i12.1432"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.869"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14174268"},{"key":"e_1_2_12_6_1","first-page":"64","article-title":"Cavitron Ultrasonic Surgical Aspirator (CUSA) in Liver Resection","volume":"77","author":"Fasulo F.","year":"1992","journal-title":"International Surgery"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.24050"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.36401"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ags3.12193"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/1989\/28161"},{"key":"e_1_2_12_11_1","first-page":"73","article-title":"Highly Anatomically Systematized Hepatic Resection With Glissonean Sheath Code Transection at the Hepatic Hilus","volume":"75","author":"Takasaki K.","year":"1990","journal-title":"International Surgery"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.908"},{"issue":"3","key":"e_1_2_12_13_1","first-page":"358","article-title":"A Simplified Method for Controlled Left Hepatectomy","volume":"97","author":"Couinaud C. M.","year":"1985","journal-title":"Surgery"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e3181b13ca2"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900619"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40064\u2010015\u20101076\u20106"}],"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.2674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T12:16:20Z","timestamp":1730204180000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcs.2674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,24]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/rcs.2674"],"URL":"https:\/\/doi.org\/10.1002\/rcs.2674","archive":["Portico"],"relation":{},"ISSN":["1478-5951","1478-596X"],"issn-type":[{"value":"1478-5951","type":"print"},{"value":"1478-596X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,24]]},"assertion":[{"value":"2024-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e2674"}}