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Improved Liver Retraction in Robotic Hepatectomy

A new technique for liver retraction during robotic surgery minimizes trauma and enhances surgical precision.

  • Implemented in 26 robotic hepatectomies, the Clip-Pulley Maneuver (CPM) proved to be complication-free.
  • No major events (Clavien-Dindo grade III or higher) were reported, and the diaphragm remained intact in all cases.

This method allows real-time adjustments for optimal retraction without additional peritoneal punctures.

  • Typically, two clips sufficed for most procedures, with additional clips available for larger resections.

Journal Article by Ashida R, Sugiura T (…) Uesaka K et 4 al. in Ann Surg Oncol

© 2026. Society of Surgical Oncology.

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