ROBOTIC LEFT HEPATECTOMY FOR HEMORRHAGIC HEPATOCELLULAR ADENOMA
Allyson Lim-Dy*1,2, Kawtar Guenoun1, Valerie Przetocki1, Sharona B. Ross1, Iswanto Sucandy1
1Digestive Health Institute in Tampa, AdventHealth, Altamonte Springs, FL; 2University of South Florida, Tampa, FL
Hepatocellular adenomas (HA) are benign liver tumors, more frequently seen in women exposed to estrogenic contraception. Rupture of these tumors can be the first sign and life-threatening. We describe a 35-year-old woman with oral contraceptive use presenting to the ER after an acute onset of abdominal pain. CT scan was consistent with a 13cm left hepatic lobe mass likely from a ruptured HA. The patient underwent a successful robotic left hepatectomy with minimal blood loss and without complications. We included a series of robotic HA resection performed in the last 5 years and demonstrated the safety, feasibility, and reproducibility of robotic technique in treating hepatic adenoma.
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