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  • Title
  • 1. Introduction
  • 2. Port Placement and Lysis of Adhesions
  • 3. Robot Docking
  • 4. Exposure
  • 5. Pringle Maneuver with Modified Huang's Loop Technique
  • 6. Full Ultrasound of the Liver
  • 7. Ultrasound-Assisted Scoring Around Segment V/VI Lesion
  • 8. Hepatectomy for Segment V/VI Lesion
  • 9. Hemostasis
  • 10. Cholecystectomy
  • 11. Hemostasis and Placing Specimens in Bag
  • 12. Ultrasound of Segment IVb Lesion
  • 13. Excisional Biopsy of Segment IVb Lesion
  • 14. Hemostasis, Irrigation, Robot Undocking, and Extraction of Specimens
  • 15. Closure of Port Sites
  • 16. Post-op Remarks

Article type:Descriptions of Clinical and Surgical Procedures

Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion

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Manuscript Format: Full Text

Procedure Outline

1. Introduction

2. Port Placement and Lysis of Adhesions

3. Robot Docking

4. Exposure

5. Pringle Maneuver with Modified Huang's Loop Technique

6. Full Ultrasound of the Liver

7. Ultrasound-Assisted Scoring Around Segment V/VI Lesion

8. Hepatectomy for Segment V/VI Lesion

  1. Control Bleeding with Pressure and Pringle Maneuver
  2. Dissect for the Critical View of Safety
  3. Clip and Divide the Cystic Duct and Cystic Artery
  4. Remove Remaining Gallbladder from Liver Bed

9. Hemostasis

10. Cholecystectomy

11. Hemostasis and Placing Specimens in Bag

12. Ultrasound of Segment IVb Lesion

13. Excisional Biopsy of Segment IVb Lesion

14. Hemostasis, Irrigation, Robot Undocking, and Extraction of Specimens

  1. TAP Blocks

15. Closure of Port Sites

16. Post-op Remarks

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Authors

Filmed At:

Penn State Health Milton S. Hershey Medical Center

Article Information

Publication Date
Article ID485
Production ID0485
Volume2026
Issue485
DOI
https://doi.org/10.24296/jomi/485