Abstract
Laparoscopic liver resection (LLR) has been widely adopted; however, limited instrument mobility remains a challenge. Such technical limitations can be overcome with the novel articulating laparoscopic device ARTISENTIAL, but its use in LLR has not previously been described. Here we report the first anatomical liver resection performed using the ARTISENTIAL device. A 73-year-old man with a segment-3 hepatic mass underwent laparoscopic left hepatectomy, with lymph node sampling. This procedure was performed using ARTISENTIAL. Parenchymal transection was performed using the clamp-crushing technique with ARTISENTIAL. The Glissonian stump was closed with sutures. Compared to robotic systems, ARTISENTIAL provides similar motion benefits, without the associated cost or set-up requirements. ARTISENTIAL is a versatile and cost-effective technique. This case is the first reported anatomical LLR performed using ARTISENTIAL. Our experience suggests that this device can effectively overcome the major limitations of conventional instruments in LLR.