ROBOTIC RESECTION OF LEFT INTRADUCTAL PAPILLARY CHOLANGIOCARCINOMA WITH HEMIHEPATECTOMY AND ROUX-EN-Y HEPATICOJEJUNOSTOMY RECONSTRUCTION

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. While most resections are undertaken via conventional open method, we describe our technique of robotic resection of left intraductal papillary cholangiocarcinoma with left hemihepatectomy and R-Y hepaticojejunostomy reconstruction. CT scan confirmed a filling defect within the left hepatic duct extending down into the common bile duct. The operation was uneventful with blood loss of 50cc. 0/12 lymphnodes were involved by carcinoma.