ROBOTIC KLATSKIN TYPE 3A RESECTION WITH BILIARY RECONSTRUCTION DESCRIPTION OF SURGICAL TECHNIQUE

Minimally invasive resection for perihilar cholangiocarcinoma is an emerging technique in HPB surgery which requires both liver resection and biliary reconstruction. Description of this method is very limited. In this video, we described a Bismuth 3A perihilar cholangiocarcinoma resection in a 77-year-old man, who presented with intrahepatic ductal dilation (Right >Left) and jaundice. ERCP/cholangioscopy shows a high-grade bismuth 3A with malignant stricture. An endoscopic preoperative drainage was achieved with a 7 French 15cm plastic stent. The robotic resection of Klatskin type 3A was completed uneventfully with adequate lymphadenectomy and unremarkable postoperative course.