Abstract
Hepatic arterial infusion chemotherapy can be of value to patients with metastatic liver disease from colorectal cancer. Arterial infusion therapy requires surgical placement of a catheter into the gastroduodenal artery connected to a subcutaneous infusion pump or port, a procedure involving major abdominal surgery. Placement of chemotherapy infusion catheters by conventional laparoscopic techniques has been described, but is a technically challenging procedure. The purpose of this report is to introduce a new, minimally invasive approach for hepatic artery catheter placement using the DaVinci robotic system with the potential to minimize surgical trauma, pain, and hospital stay, and to render this minimal access procedure more feasible and widely applicable.
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References
Jemal A, Murray T, Ward E, et al. (2005) Cancer statistics Cancer J Clin 55(1):10–30
Fong Y, Cohen AM, Fortner JG, et al. (1997) Liver resection for colorectal metastases. J Clin Oncol 15(3):938–946
Kemeny N, Jarnagin W, Paty P, et al. (2005) Phase I trial of systemic oxaliplatin combination chemotherapy with hepatic arterial infusion in patients with unresectable liver metastases from colorectal cancer. J Clin Oncol 23(22):4888–4896
Ong ES, Poirier M, Espat NJ (2006) Hepatic intra-arterial chemotherapy. Ann Surg Oncol 13(2):142–149
Kemeny N, Huang Y, Cohen AM, et al. (1999) Hepatic arterial infusion of chemotherapy after resection of hepatic metastases from colorectal cancer. N Engl J Med 341(27):2039–2048
Kemeny MM, Adak S, Gray B, et al. (2002) Combined-modality treatment for resectable metastatic colorectal carcinoma to the liver: surgical resection of hepatic metastases in combination with continuous infusion of chemotherapy, an intergroup study. J Clin Oncol 20(6):1499–1505
Giulianotti PC, Coratti A, Angelini M, et al. (2003) Robotics in general surgery: personal experience in a large community hospital. Arch Surg. 138(7):777–784
Curley SA, Hohn DC, Roh MS (1990) Hepatic artery infusion pumps: cannulation techniques and other surgical considerations. Langenbecks Arch Chir 375(2):119–124
Cheng J, Hong D, Zhu G, et al. (2004) Laparoscopic placement of hepatic artery infusion pumps: technical considerations and early results. Ann Surg Oncol 11(6):589–597
Franklin ME Jr, Gonzalez JJ Jr (2002) Laparoscopic placement of hepatic artery catheter for regional chemotherapy infusion: technique, benefits, and complications. Surg Laparosc Endosc Percutan Tech 12(6):398–407
Urbach DR, Herron DM, Khajanchee YS, et al. (2001) Laparoscopic hepatic artery infusion pump placement. Arch Surg 136(6):700–704
Cheng J, Glasgow RE, O’Rourke RW, et al. (2003) Laparoscopic radiofrequency ablation and hepatic artery infusion pump placement in the evolving treatment of colorectal hepatic metastases. Surg Endosc 17(1):61–67
Lanfranco AR, Castellanos AE, Desai JP, Meyers WC (2004) Robotic surgery: a current perspective. Ann Surg 239(1):14–21
Ballantyne GH, Moll F (2003) The da Vinci telerobotic surgical system: the virtual operative field and telepresence surgery. Surg Clin North Am 83(6):1293–1304
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Hellan, M., Pigazzi, A. Robotic-assisted placement of a hepatic artery infusion catheter for regional chemotherapy. Surg Endosc 22, 548–551 (2008). https://doi.org/10.1007/s00464-007-9496-1
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DOI: https://doi.org/10.1007/s00464-007-9496-1