The accreditors of this session require that you periodically check in to verify that you are still attentive.
Please click the button below to indicate that you are.
1322
ROBOTIC ANATOMICAL RIGHT HEPATECTOMY FOR NECROTIC CHOLANGIOCARCINOMA
TECHNIQUE OF INFLOW CONTROL IN NAKAMURA TYPE B PORTAL VEIN ANATOMY
Date
May 21, 2024
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.
Right posterior bile duct injury with disconnected duct syndrome creates diagnostic challenges for many endoscopists and radiologists. The diagnosis and treatment are often delayed…
53-year-old female with a past medical history of hypertension, hiatal hernia and gastroesophageal reflux disease (GERD) presented with daily heartburn (improved by PPIs), regurgitation, and chronic cough. Upper endoscopy revealed 7 cm hiatal hernia, LA class C esophagitis and hill-grade 3-4…
Intraductal papillary cholangiocarcinoma is characterized by papillary projections within the biliary lumen and this has favorable prognosis when compared to mass-forming or periductal infiltrative type. R-0 surgical resection is the standard curative treatment…