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Updated: Nov 19, 2025
Robotic Taj Mahal Hepatectomy for Hilar Cholangiocarcinoma
Published on: July 14, 2022
Total robotic ALPPS approach for hepatocellular carcinoma in cirrhotic liver
Eduardo de Souza M Fernandes1,2, Fernando de Barros2, Paolo Magistri3,4
1Department of Hepatopancreatobiliary and Transplant Surgery, Rio de Janeiro Federal University, Rio de Janeiro, Brazil.
Background:
Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure.
Methods:
To present three cases of totally robotic ALPPS in cirrhotic patients with HCC.
Results:
Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was ≤9 and tumour size between 90 and 140 mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30 h and of stage 2 was 4:37 h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded.
Conclusions:
Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.
