Society for Surgery of the Alimentary Tract

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ROBOTIC EXTENDED RIGHT ANTERIOR SECTIONECTOMY FOR HEPATOCELLULAR CARCINOMA
Parisa Yazdankhah Kenary*, Sharona Ross, Alexander Rosmurgy, Iswanto Sucandy
Digestive Health Institute in Tampa, AdventHealth, Altamonte Springs, FL

Right anterior sectionectomy (RAS) is an expert-level hepatectomy, especially when undertaken via a minimally invasive approach. Underlying liver diseases often mandate a parenchymal sparing liver resection technique to avoid postoperative hepatic failure. In modern literature, technical description of this operation is limited. We describe our technique for an extended RAS in a 64-year-old man with HCC in segment 5/8 liver dome bordering into segment 4A, with history of treated hepatitis C infection (Child A). The operation was uneventful with 50cc of blood loss. Final pathology confirmed bifocal 6.8cm and 0.8cm HCC with vascular invasion. Therefore, Robotic extended RAS is safe & feasible.
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