# The First Report of Anatomical Laparoscopic Liver Resection Performed Using ARTISENTIAL

## TL;DR

This paper reports the first anatomical liver surgery using the ARTISENTIAL device, which offers improved mobility and cost-effectiveness over robotic systems.

## Contribution

The first reported use of the ARTISENTIAL device for anatomical laparoscopic liver resection.

## Key findings

- ARTISENTIAL successfully performed parenchymal transection using the clamp-crushing technique.
- The device provided motion benefits similar to robotic systems without the cost or setup requirements.
- This case demonstrates ARTISENTIAL's potential to overcome limitations of conventional laparoscopic instruments.

## 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.