ROBOTIC LEFT ANATOMICAL HEPATECTOMY FOR INTRAHEPATIC CHOLANGIOCARCINOMA TECHNIQUE OF HEPATIC VEIN DISSECTION WITHOUT CUSA
Allyson Lim-Dy*1,2, Kawtar Guenoun1, Kaitlyn Crespo1, Sharona B. Ross1, Iswanto Sucandy1
1Digestive Health Institute in Tampa, AdventHealth, Altamonte Springs, FL; 2University of South Florida, Tampa, FL
Intrahepatic cholangiocarcinoma is an aggressive cancer requiring resection with portal lymphadenectomy. One of the limiting factors in the current adoption of robotic technology in liver resection is the absence of Cavitron Ultrasonic Surgical Aspirator (CUSA). We described our technique of hepatic vein dissection without CUSA during an anatomical left hepatectomy in a 56-year-old diagnosed with an intrahepatic cholangiocarcinoma. The workup included a pre-referral liver biopsy and a CT scan showing a 2.5 cm segment 4A mass between left and middle hepatic vein. A robotic left anatomical hepatectomy was completed with an uneventful postoperative recovery. She was discharged on POD 2.
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