Advanced Liver Surgery at Bumrungrad Robotic Surgery Center

 
The liver is a vital organ that supports metabolism, detoxification, and bile production. Unfortunately, it is prone to diseases ranging from benign cysts to life-threatening cancers. When surgery is needed, a hepatectomy (removal of part of the liver) may be the treatment of choice.
 
Traditionally, liver surgery involved large incisions, significant blood loss, and long recovery times. Today, the da Vinci Xi robotic-assisted system at Bumrungrad Robotic Surgery Center enables surgeons to perform complex liver resections through small incisions, with unmatched precision and control.
 
Conditions Treated with Robotic Hepatectomy

• Liver Cancer (Hepatocellular Carcinoma, HCC)
  The most common primary liver cancer, often linked to hepatitis B, hepatitis C, or cirrhosis. Robotic surgery allows precise tumor removal while preserving healthy tissue.
• Secondary (Metastatic) Liver Tumors
  Cancers such as colorectal or breast cancer can spread to the liver. Robotic surgery offers safe removal of these metastatic tumors.
• Benign Liver Tumors
  Conditions like hemangiomas, focal nodular hyperplasia (FNH), or hepatic adenomas may require resection if they cause pain, bleeding, or rapid growth,
• Liver Cysts and Polycystic Liver Disease
  While most liver cysts are harmless, large or symptomatic cysts can be removed robotically for relief and to prevent complications.
• Intrahepatic Bile Duct Cancer (Cholangiocarcinoma)
  This rare cancer arises in the bile ducts within the liver. Robotic technology helps surgeons operate in these delicate areas with high precision.

 

Types of Liver Resection

 

Type of Hepatectomy	Description	When It’s Used
Lobectomy	Removal of an entire lobe of the liver (right or left).	Large liver tumors or widespread disease within a lobe.
Segmentectomy	Removal of one or more of the liver’s eight anatomical segments.	Small or localized tumors where healthy liver tissue can be preserved.
Wedge Resection	Removal of a small wedge-shaped portion of liver tissue.	Small benign tumors or cysts, or diagnostic purposes.

With robotic technology, surgeons can perform all three types with greater accuracy, better vessel control, and less trauma to healthy liver tissue.
 

Benefits of Robotic Hepatectomy

• Smaller incisions - less pain and faster healing
• 3D HD visualization - clear view of bile ducts, blood vessels, and tumors
• Reduced blood loss - lower risk of transfusion
• Faster recovery - shorter hospital stay and quicker return to daily life
• Lower complication risk - reduced infection and bile leakage rates
• Better preservation of liver function - critical for long-term survival

 

Why Choose Bumrungrad?

Since 2016, Bumrungrad International Hospital has been at the forefront of robotic surgery in Asia. At the Robotic Surgery Center, patients benefit from:

• A multidisciplinary team of hepatobiliary surgeons, anesthesiologists, and liver specialists
• da Vinci Xi technology designed for complex abdominal and liver procedures
• Proven outcomes with reduced hospital stays and improved survival rates
• Patient-centered care that combines advanced technology with compassion

 
At Bumrungrad, robotic-assisted surgery with the da Vinci Xi is more than an operation - it is a pathway back to health, dignity, and hope.
 

FAQ

1. What is a hepatectomy?
A hepatectomy is the surgical removal of part of the liver. It may involve a lobectomy (removing a full lobe), segmentectomy (removing one or more segments), or wedge resection (removing a smaller portion).
 
2. Why choose robotic-assisted hepatectomy?
Robotic technology offers smaller incisions, less blood loss, faster recovery, and better precision compared to traditional open surgery.
 
3. Who is a candidate for robotic liver surgery?
Patients with liver cancer, metastatic tumors, bile duct cancers, or symptomatic benign conditions may be eligible. Final recommendations are made by a specialist after imaging and liver function tests.
 
4. Is robotic surgery safe for liver resections?
Yes. At Bumrungrad, robotic liver surgery is performed by highly experienced hepatobiliary surgeons, supported by the da Vinci Xi system and advanced perioperative care, ensuring safety and excellent long-term outcomes.
 
5. How long is the recovery after robotic hepatectomy?
Most patients experience a shorter hospital stay (3–5 days) and faster return to daily life compared to traditional open surgery.