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Totally Laparoscopic Right Hepatectomy With Roux-en-Y Hepaticojejunostomy
Marcel C Machado^*, Rodrigo C. Surjan, Fabio F. Makdissi, Marcel Autran Machado
Surgery, University of Sao Paulo, Sao Paulo, Brazil

We present a video of a totally laparoscopic right hepatectomy with hilar dissection and lymphadenectomy, en bloc resection of extrahepatic bile duct and Roux-en-Y hepaticojejunostomy in a 58-year-old patient with intraductal papillary neoplasm of the right hepatic duct. Operative time was 400 minutes. Postoperative recovery was uneventful. Surgical margins were free. Patient is well with no evidence of the disease 14 months after the procedure. Laparoscopic right hepatectomy with hepaticojejunostomy is feasible and safe, provided it is performed in a specialized center and staff with experience in hepatobiliary surgery and advanced laparoscopic. It is reserved for selected cases.

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