1324

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

Date
May 21, 2024

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.

Tracks

Related Products

Thumbnail for RIGHT POSTERIOR BILE DUCT INJURY RECONSTRUCTION WITH ROBOTIC RY HEPATICOJEJUNOSTOMY
RIGHT POSTERIOR BILE DUCT INJURY RECONSTRUCTION WITH ROBOTIC RY HEPATICOJEJUNOSTOMY
Right posterior bile duct injury with disconnected duct syndrome creates diagnostic challenges for many endoscopists and radiologists. The diagnosis and treatment are often delayed…
Thumbnail for ROBOTIC EXTENDED RIGHT POSTERIOR SECTIONECTOMY
A SAFE PARENCHYMAL-SPARING ALTERNATIVE TO RIGHT HEPATECTOMY
ROBOTIC EXTENDED RIGHT POSTERIOR SECTIONECTOMY A SAFE PARENCHYMAL-SPARING ALTERNATIVE TO RIGHT HEPATECTOMY
Formal anatomical right hepatectomy is a major resection which can sometimes lead to hepatic insufficiency in patients with marginal future liver remnant function. An alternative technique via conventional open method proposed by Torzilli et al…
Thumbnail for ROBOTIC EXTENDED RIGHT ANTERIOR SECTIONECTOMY FOR HEPATOCELLULAR CARCINOMA
ROBOTIC EXTENDED RIGHT ANTERIOR SECTIONECTOMY FOR HEPATOCELLULAR CARCINOMA
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…
Thumbnail for ROBOTIC LEFT HEPATECTOMY FOR HEMORRHAGIC HEPATOCELLULAR ADENOMA
ROBOTIC LEFT HEPATECTOMY FOR HEMORRHAGIC HEPATOCELLULAR ADENOMA
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…