ROBOTIC PORTAL LYMPHADENECTOMY WITH PARTIAL CENTRAL HEPATECTOMY FOR GALLBLADDER CARCINOMA: TECHNIQUE OF VASCULAR HANDLING & HEMOSTASIS IN MINIMALLY INVASIVE APPROACH

Gallbladder carcinoma (GBC) is uncommon and aggressive, generally with poor prognosis. We described minimally invasive robotic portal lymphadenectomy (PLND) and systematic portal radical hepatectomy in an 85-year-old woman with GBC that invaded the cystic duct margin and hepatic parenchyma, based on the pathology report from the index laparoscopic cholecystectomy. The robotic technique for delicate dissection and hemostasis was demonstrated in this video. The operation was uneventful. 9 lymph nodes from the PLND were negative for metastasis and resected segment 4b/5 liver tissue was consistent with residual GBC in gallbladder bed. The patient was discharged on POD 3, recovery was uneventful.