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Case Reports
. 2020 Apr;16(2):e2087.
doi: 10.1002/rcs.2087. Epub 2020 Feb 18.

Full robotic ALPPS for HCC with intrahepatic portal vein thrombosis

Fabrizio Di Benedetto  1 , Giacomo Assirati  1 , Paolo Magistri  1
Affiliations
Case Reports

Full robotic ALPPS for HCC with intrahepatic portal vein thrombosis

Fabrizio Di Benedetto et al. Int J Med Robot. 2020 Apr.

Abstract

Background: The associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) technique can induce a greater degree of hypertrophy of the future liver remnant (FLR) in a shorter time compared with other procedures. A robotic approach may reduce the complication rate, increasing the ability to perform classic ALPPS.

Methods: We report technical and clinical considerations on the first full robotic ALPPS (stages 1 and 2) for hepatocellular carcinoma (HCC) with portal vein intrahepatic tumor thrombus.

Results: The patient was a 38-year-old man with Milan-out HCC and FLR volume of 19.6%. On postoperative day (POD) 8, FLR increased to 37%; therefore, he underwent completion of ALPPS on POD 10. The postoperative course was uneventful, and the patient was discharged in good general conditions on POD 3.

Conclusion: Robotic ALPPS is safe and feasible for selected patients with initially unresectable HCC or requiring extended resections, with good postoperative outcomes.

Keywords: PVT; associating liver partition and portal vein ligation for staged hepatectomy; hepatocellular carcinoma; major hepatectomy; minimally invasive; robotic surgery; staged hepatectomy.

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References

REFERENCES

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