Transplantation hépatique robotique du foie total

The technical and hemodynamic complexity of Liver Transplantation discouraged the implementation of minimally invasive approaches until the early 2010s. In May 2023, the team of Washington University School of Medicine in St. Louis, USA announced the world’s first whole-liver robotic transplant using a deceased-donor liver. We herein report, in a preliminary experience, a series of robotic whole liver transplantations (RLT) using full liver grafts from deceased donors. We discuss the potential advantages and its caveats. Robotic Liver Transplantation is a promising technique to further reduce the impact of liver transplantation thanks to smaller incision, gentle tissue manipulation, high magnification and precision for vascular and biliary anastomosis, and reduced postoperative pain. These are the first cases demonstrating the feasibility of minimally invasive surgery in liver transplantation, although further selection and technical refinements are needed to improve reproducibility.