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International Society of Surgery (ISS)
Société Internationale de Chirurgie (SIC)
Integrated Societies: IATSIC | IASMEN | BSI | ISDS
ROBOTIC EXTENDED LEFT HEPATECTOMY AND ROUX-EN-Y HEPATICOJEJUNOSTOMY FOR PRIMARY INTRAPSNCREATIC LITHIASIS
ma_epstein@hotmail.com
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Slot ID
317-01
Abstract Title
ROBOTIC EXTENDED LEFT HEPATECTOMY AND ROUX-EN-Y HEPATICOJEJUNOSTOMY FOR PRIMARY INTRAPSNCREATIC LITHIASIS
Author Details
No. of Authors
3
Including the presenting author
Author 1
Marcel Autran Machado mmautran@gmail.com Sirio Libanês Hospital General, gastric and minimally invasive surgery São Paulo Brazil
Author 2
Fabio Makdissi fabio@hotmail.com Sirio Libanês Hospital General, gastric and minimally invasive surgery São Paulo Brazil
Author 3
Marina Epstein ma_epstein@hotmail.com Vila Nova Star Hospital General, gastric and minimally invasive surgery São Paulo Brazil *
Author 4
Author 5
Author 6
Author 7
Author 8
Author 9
Author 10
Author 11
Author 12
Presenting Author Name
Marina Epstein
Presenting Author Email
ma_epstein@hotmail.com
Presenting Author Country
Brazil
Abstract
Abstract type
Video
Introduction *
Hilar cholangiocarcinoma is the most common malignant neoplasm of the biliary tract. Surgical resection is the only curative modality of treatment. The aim of this video is to present a robotic left hepatectomy extended to caudate lobe, combined with lymphadenectomy, and Roux-en-Y hepaticojejunostomy.
Material & Method *
A 74-year-old man presented with jaundice. MRI showed a 4.6 cm tumor involving the hepatic hilum. The tumor was deemed inoperable and neoadjuvant treatment with durvalumab plus gemcitabine and cisplatin was initiated. After 6 cycles of treatment, the tumor had shrunk, and the multidisciplinary team opted for surgical treatment. A robotic approach was proposed and consent was obtained.
Results *
The total operating time was 320 minutes. The estimated blood loss was 140 mL and no transfusion was required during or after surgery. Recovery was uneventful and the patient was discharged on postoperative day 5. No bile leakage was observed. Pathology confirmed a 4.2 x 3.0 cm cholangiocarcinoma with free surgical margins (T2N1).
Conclusion *
Robotic left hemihepatectomy with Roux-en-Y hepaticojejunostomy is safe and feasible. This complex procedure should be performed by experienced surgeons in both open and robotic surgery.
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Category
Select Main Category
2 Digestive Surgery organized by ISDS
Select Sub Category
2.01 Upper Gastro-Intestinal Surgery
Submission Status
Submitted
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Abstract Prizes
Eligible for the BSI Free Paper Prize
No
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript conforming to the format of orignial articles in the World Journal of Surgery WJS by 30 November 2025
Eligible for the Grassi Prize
No
- Author must be age 40 or younger
- One of the authors must be a member of ISDS
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript to the World Journal of Surgery WJS by 30 November 2025
Eligible for the Kitajima Prize
No
- Author must be age 40 or younger
- One of the authors must be a member of ISDS
- Presenting author must register to the congress by 30 November 2025
- Author must submit a full-length manuscript to the World Journal of Surgery WJS by 30 November 2025
Vimeo Link
https://vimeo.com/1097214935/fd68c2ed90?share=copy
