Hepatic Artery Infusion (HAI) Pump Placement For Unresectable Intrahepatic Cholangiocarcinoma with Vessel Abutment and Intrahepatic Metastasis
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Procedure Outline
Table of Contents
- 1. Introduction
- 2. Diagnostic Laparoscopy and Placement of Robotic Ports
- 3. Robot Docking
- 4. Liver Ultrasound
- 5. Liver Retraction
- 6. Pars Flaccida Incision and Gastrohepatic Ligament Takedown to Expose Station 8a Lymph Node
- 7. Station 8a Lymph Node Dissection to Expose Common Hepatic Artery and Gastroduodenal Artery
- 8. Common Hepatic Artery, Proper Hepatic Artery, and GDA Dissection and Division of Branches to Duodenum to Prevent Aberrant Flow
- 9. Creation of Subcutaneous Pocket for Pump
- 10. Hepatic Artery Infusion Pump Placement
- 11. ICG and Methylene Blue Tests to Rule Out Aberrant Flow
- 12. Hemostasis, TAP Blocks, and Robot Undocking
- 13. Placement of Pump in Subcutaneous Pocket
- 14. Closure
- 15. Post-op Remarks
- Right Gastric Artery Ligation
- Ligation of a Suspected Aberrant Branch of GDA
- Station 8a Lymph Node Excision
