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<article article-type="research-article" dtd-version="1.0" xml:lang="en" xmlns:mml="https://www.w3.org/1998/Math/MathML" xmlns:xlink="https://www.w3.org/1999/xlink" xmlns:xsi="https://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Journal of Medical Insight</journal-title>
      </journal-title-group>
      <?Pub Caret -1?>
      <issn pub-type="epub">2373-6003</issn>
      <publisher>
        <publisher-name>JoMI</publisher-name>
        <publisher-loc>Boston, Massachusetts</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">485</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/485</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Robotic Hepatectomy for a Segment V/VI Suspected HCC Lesion with Cholecystectomy and Evaluation by Ultrasound and Excisional Biopsy of a Segment IVb Lesion</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2026</year>
      </pub-date>
      <volume>2026</volume>
      <issue>04</issue>
      <permissions>
        <copyright-statement>2017 Journal of Medical Insight</copyright-statement>
        <copyright-year>2017</copyright-year>
        <license xlink:href="https://jomi.com/license">
          <license-p>
            You may create an account, or sign in to gain temporary access for evaluation purposes.
                    To maintain access: please let your librarian know you would like a subscription or send us an email at subscribe@jomi.com and we will forward your feedback to your librarian.
            <uri xlink:href="https://jomi.com/license"/>
          </license-p>
        </license>
      </permissions>
      <self-uri content-type="html" xlink:href="https://jomi.com/article/485/robotic-hepatectomy-for-a-segment-vvi-suspected-hcc-lesion-with-cholecystectomy-and-evaluation-by-ultrasound-and-excisional-biopsy-of-a-segment-ivb-lesion">Content is available at https://jomi.com/article/485/robotic-hepatectomy-for-a-segment-vvi-suspected-hcc-lesion-with-cholecystectomy-and-evaluation-by-ultrasound-and-excisional-biopsy-of-a-segment-ivb-lesion</self-uri>
      <abstract>
        <p>Hepatocellular carcinoma (HCC) is the most common primary liver cancer and is associated with high morbidity and mortality. In this case, the patient was incidentally found to have a segment V/VI lesion consistent with HCC and a IVb lesion indeterminate probability of malignancy. He underwent a robotic-assisted hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. His postoperative course was unremarkable, and he was discharged on postoperative day four. The pathology demonstrated well-differentiated HCC with resection margins negative for carcinoma. This video demonstrates an experienced surgeon’s technique for performing a robotic hepatectomy for a segment V/VI lesion with cholecystectomy and evaluation by ultrasound and excisional biopsy of a segment IVb lesion. It also highlights effective management of bleeding during hepatic parenchymal transection.</p>
      </abstract>
      <kwd-group>
        <kwd>Robotic</kwd>
        <kwd>SCORE</kwd>
        <kwd>MRI</kwd>
        <kwd>Intraoperative Imaging</kwd>
        <kwd>Adhesiolysis</kwd>
        <kwd>Pringle Maneuver</kwd>
        <kwd>Specimen Retrieval</kwd>
        <kwd>Hemostatic Clip Usage</kwd>
        <kwd>Anatomy Outline</kwd>
        <kwd>Harmonic Scalpel</kwd>
        <kwd>Surgical Debrief</kwd>
        <kwd>Male</kwd>
        <kwd>Geriatric</kwd>
        <kwd>Advanced</kwd>
        <kwd>hepatectomy</kwd>
        <kwd>HCC</kwd>
        <kwd>HCC lesion</kwd>
        <kwd>cholecystectomy</kwd>
        <kwd>ultrasound</kwd>
        <kwd>excisional biopsy</kwd>
        <kwd>biopsy</kwd>
        <kwd>liver</kwd>
        <kwd>Intraoperative Ultrasound (IOUS)</kwd>
        <kwd>Hepatocellular carcinoma</kwd>
        <kwd>Tissue Sealants and Adhesives</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>