Back to 2024 Abstracts

---

ROBOTIC ANATOMICAL RIGHT HEPATECTOMY FOR NECROTIC CHOLANGIOCARCINOMA TECHNIQUE OF INFLOW CONTROL IN NAKAMURA TYPE B PORTAL VEIN ANATOMY
Parisa Yazdankhah Kenary^*, Sharona Ross, Alexander Rosmurgy, Iswanto Sucandy
Digestive Health Institute in Tampa, AdventHealth, Altamonte Springs, FL

Anatomical variations in the inflow vasculatures must be anticipated in any anatomical hepatectomy to avoid complications. Nakamura Type B portal vein (PV) anatomy requires individual isolation of right anterior and posterior PV to avoid narrowing of the left PV. In this video, we describe a safe technique of robotic anatomical right hepatectomy in a 60-year-old woman with a 4cm cholangiocarcinoma wedged between the right anterior and posterior Glissonean pedicle. After individual ligations of the inflow structures, the liver parenchyma was divided in a hemostatic fashion. The operation was uneventful. Final pathology showed necrotic cholangiocarcinoma. Future liver remnant is well-perfused.

---

Back to 2024 Abstracts