ROBOTIC REPEAT RIGHT HEPATECTOMY FOR COLORECTAL LIVER METASTASIS
Marcel Autran Machado*1, Fabio F. Makdissi2, Rodrigo C. Surjan1, Tiago Basseres3, Marcel C C. Machado1
1Surgery, University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil; 2Gastroenterology, University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil; 3Surgery, Hospital Nove de Julho, Sao Paulo, Sao Paulo, Brazil
A robotic repeat hepatectomy for colorectal is presented. A 64-year-old man underwent multiple open procedures and right hepatectomy was indicated for recurrence. Operation began with adhesiolysis and inflow control. Liver was divided with bipolar forceps under continuous saline irrigation. Finally, the right hepatic vein was divided with stapler and robotic right hepatectomy was completed. Operation was completed in 240 minutes. Estimated blood loss was 150 mL. Recovery was uneventful, and patient was discharged on the fifth postoperative day. Robotic repeat hepatectomy is feasible and safe in experienced hands and may have some advantages over laparoscopic and open repeat liver resections.
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