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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Procedure Outline
Table of Contents
- 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
- Control Bleeding with Pressure and Pringle Maneuver
- Dissect for the Critical View of Safety
- Clip and Divide the Cystic Duct and Cystic Artery
- Remove Remaining Gallbladder from Liver Bed
- TAP Blocks
