20.500.12556/RUL-185148 Establishing a robot-assisted liver surgery program early experience from University Medical Center Ljubljana Background and Objectives: Robot-assisted procedures represent a significant advancement in minimally invasive liver resection techniques. Nonetheless, the introduction of a novel surgical technique in a new environment necessitates meticulous planning and a gradual, stepwise approach. This study describes the adoption of a robotic surgical platform for liver resection at a high-volume tertiary care center. Materials and Methods: We retrospectively analyzed data that had been prospectively collected from fifty robot-assisted liver resections. Descriptive statistics, including frequencies, percentages, means/medians, and standard deviations, were employed for description and summary. Results: The median operative duration was 166 min (range: 85–400 min), with an average intraoperative blood loss of 200 mL (range: 50–1000 milliliters). Intraoperative or postoperative blood transfusion was required in 8% of patients. Conversion to open resection was necessary in one patient (2%). The mean duration of hospitalization was 5 days (range: 3–20 days), with a 30-day readmission rate of 6% and no mortality within 90 days. Postoperative complications classified as Clavien-Dindo grade 3 or higher were observed in five patients (10%). The mean tumor size varied according to pathology: 58.5 mm (range: 30–120 mm) in the hepatocellular carcinoma group; 27.4 mm (range: 10–32 mm) in the secondary malignancy group; and 42.6 mm (range: 24–60 mm) in the intrahepatic cholangiocarcinoma group. The median number of lymph nodes harvested during lymphadenectomy (IHHCA/GBCA) was 5.4, ranging from 1 to 11. The R0 resection rate for malignant tumors was 88.2% (of 30/34). Conclusions: This study validates the safe integration of robot-assisted surgery into liver disease treatment, supported by our initial experience. Despite its technical advantages, robotic-assisted liver surgery remains complex and demanding. Structured robotic training within established programs, meticulous patient selection, and a stepwise implementation approach are critical during the early phases to optimize the outcomes. robot-assisted surgery liver surgery implementation minimal invasive liver surgery structured program robotsko podprte operacije minimalno invazivne operacije jetra strukturiran program true false true Angleški jezik Slovenski jezik Članek v reviji 2026-07-24 11:36:56 2026-07-24 11:37:08 2026-08-06 07:53:58 0000-00-00 00:00:00 2026 0 0 12 str. iss. 1, art. 18 Vol. 62 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-089 1648-9144 10.3390/medicina62010018 262651139 RAZ_Petric_Miha_2026.pdf RAZ_Petric_Miha_2026.pdf 1 F42ABE2D8625D730EE68C0B5E29BDD80 a5153d1e111976fe70f51ffd8cc2f026723f889be83af1fea03b585d0e8db302 c9dfbf5c-8743-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=243370 https://www.mdpi.com/1648-9144/62/1/18 0 b1a3f97c-8743-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=243369 Medicinska fakulteta 0 0 0