ROBOTIC RIGHT HEPATECTOMY WITH PORTAL VEIN THROMBECTOMY FOR COLORECTAL LIVER METASTASIS
Marcel Autran Machado*, Fabio F. Makdissi
Surgery, University of Sao Paulo, Sao Paulo, Sao Paulo, Brazil
We present the video of a robotic right hepatectomy with portal vein thrombectomy. A 61-year-old woman underwent open transverse colectomy in 2015 followed by metastasectomy in 2019. Recuurence in 2020. Portal vein is dissected and an enlarged right portal vein with a protruding tumoral thrombus was seen. Left portal vein and portal vein trunk were temporary clamped. The right portal vein was carefully transected careful not to displace the thrombus. The portal vein was then closed with running suture. Right liver was then divided. Total operative time was 270 minutes, with no transfusion. Robotic right hepatectomy is feasible and safe, even in the presence of portal vein invasion.
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