Background: Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure. Methods: To present three cases of totally robotic ALPPS in cirrhotic patients with HCC. Results: Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was ≤9 and tumour size between 90 and 140 mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30 h and of stage 2 was 4:37 h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded. Conclusions: Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.
Total robotic ALPPS approach for hepatocellular carcinoma in cirrhotic liver / Fernandes, E. D. S. M.; de Barros, F.; Magistri, P.; Di Sandro, S.; Rezende de Carvalho, P.; Roza da Silva, F.; Andrade, R. O.; Pimentel, L. S.; Girao, C. L.; Pedreira de Mello, F.; Torres, O. J. M.; Di Benedetto, F.. - In: THE INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY. - ISSN 1478-5951. - 17:3(2021), pp. 1-3. [10.1002/rcs.2238]
Total robotic ALPPS approach for hepatocellular carcinoma in cirrhotic liver
Magistri P.;Di Sandro S.;Di Benedetto F.
2021
Abstract
Background: Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure. Methods: To present three cases of totally robotic ALPPS in cirrhotic patients with HCC. Results: Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was ≤9 and tumour size between 90 and 140 mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30 h and of stage 2 was 4:37 h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded. Conclusions: Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.
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