ROBOTIC TYPE 3B KLATSKIN TUMOR RESECTION. TECHNIQUE OF UNIFICATION DUCTOPLASTY FOR RY BILIARY RECONSTRUCTION.
Ahmed Younos*2, Kawtar Guenoun1, Kaitlyn Crespo1, Iswanto Sucandy1, Sharona B. Ross1
1Digestive Health Institute in Tampa, AdventHealth, Altamonte Springs, FL; 2University of South Florida, Tampa, FL
Minimally invasive approach for perihilar cholangiocarcinoma is an emerging technique. The difficulty with laparoscopic bilioenteric anastomosis at or above the level of hilar plate is a limiting factor in laparoscopic technique. We describe our robotic technique in unifying right posterior and anterior sectoral duct to create a single hepaticojejunostomy anastomosis after a type 3B Klatskin tumor resection. The operative time was 8 hours with an uneventful postoperative recovery. Pathology report showed cholangiocarcinoma involving the left hepatic duct and, and proximal common hepatic duct, with microscopic invasion into the left lobe (2.1 cm). The JP drain was removed prior to discharge.
Back to 2023 Abstracts