Right Hemihepatectomy, Robotically Assisted

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  1. Patient Positioning and Operating Room Setup

    • Positioning: Supine position with legs spread on a vacuum cushion. The cushion ensures stability, reducing the need for additional supports
    • After trocar placement, the table is tilted to a 15° – 30° Anti-Trendelenburg position to optimize access
    • Robot Docking:
      • The Xi system offers flexibility in the docking position, typically from the left
      • For X or Si systems, the cart is docked cranially from the right
    • Team Positioning:
      • Surgeon: At the console, ideally with a view of the patient and assistant
      • Assistant: Positioned between the legs, sitting or standing
      • Scrub Nurse: On the right side of the patient
      • Anesthesiologist: At the patient’s head, on the right side
Pneumoperitoneum, Trocar Placement, and Docking

Pneumoperitoneum Creation:Use a Veress needle at the Palmer point in the left upper abdomen.Establi

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