Full Robotic Whole Graft Liver Transplantation:A Novel Approach.

Liver transplantation remains the only definitive treatment for end-stage liver disease and acute liver failure, providing patients the potential for long-term survival and significantly improved quality of life.1 Liver transplantation is traditionally performed via open or a laparoscopic-assisted surgery.2,3 However, recent advances in robotic surgery have opened the door to robotic-assisted liver transplantation. While robotic donor hepatectomy is now well documented, the application of a full robotic approach for whole liver graft transplantation remains a significant technical frontier.4,5 This technical video presents a detailed, step-by-step description of our technique for fully robotic whole graft liver transplantation, demonstrated in the case of a 49-year-old male patient with end-stage liver disease complicated by refractory ascites.