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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">500</article-id>
      <article-id pub-id-type="doi">10.24296/jomi/500</article-id>
      <article-categories>
        <subj-group>
          <subject>Research article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Hepatic Artery Infusion (HAI) Pump Placement For Unresectable Intrahepatic Cholangiocarcinoma with Vessel Abutment and Intrahepatic Metastasis</article-title>
      </title-group>
      <contrib-group/>
      <pub-date pub-type="ppub">
        <year>2025</year>
      </pub-date>
      <volume>2025</volume>
      <issue>10</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/500/hepatic-artery-infusion-hai-pump-placement-for-unresectable-intrahepatic-cholangiocarcinoma-with-vessel-abutment-and-intrahepatic-metastasis">Content is available at https://jomi.com/article/500/hepatic-artery-infusion-hai-pump-placement-for-unresectable-intrahepatic-cholangiocarcinoma-with-vessel-abutment-and-intrahepatic-metastasis</self-uri>
      <abstract>
        <p>The management of unresectable intrahepatic cholangiocarcinoma (ICC) faces major difficulties due to limited therapeutic options for liver-confined disease. This educational video shows technical procedures for robotic hepatic artery infusion (HAI) pump implantation in patients with unresectable ICC. A 72-year-old woman with a centrally-located ICC that involved both portal vein branches received robotic HAI pump placement. The procedure started with diagnostic laparoscopy before moving to robotic arterial dissection for catheter placement in the gastroduodenal artery (GDA) and ending with comprehensive perfusion testing using indocyanine green and methylene blue. Preoperative imaging results showed less disease presence than the intraoperative ultrasound results that displayed multiple hepatic metastases, which led to a change in treatment approach from neoadjuvant to definitive palliative care. The surgeons confirmed proper hepatic perfusion and no abnormal extrahepatic blood flow after they placed the catheter successfully. The robotic HAI pump placement system provides a minimally invasive solution for delivering regional chemotherapy in cases of unresectable ICC through improved visualization and precision compared to open surgical approaches.</p>
      </abstract>
      <kwd-group>
        <kwd>Robotic</kwd>
        <kwd>Lymph Node Dissection</kwd>
        <kwd>Tissue Sealants and Adhesives</kwd>
        <kwd>Intraoperative Ultrasound (IOUS)</kwd>
        <kwd>Indocyanine Green Imaging</kwd>
        <kwd>Has Animation</kwd>
        <kwd>Anatomy Outline</kwd>
        <kwd>Metastatic Disease</kwd>
        <kwd>Arterial Clamping</kwd>
        <kwd>Liver Retraction</kwd>
        <kwd>Female</kwd>
        <kwd>Geriatric</kwd>
        <kwd>Advanced</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>