Robotic Right Trisectionectomy, Main Biliary Confluence Resection, Lymphadenectomy, and Hepaticojejunal Reconstruction for Perihilar Cholangiocarcinoma.

Boris Amory, Mathilde Lalaude, Ugo Marchese, Stylianos Tzedakis

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In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Boris AmoryDepartment of Hepatobiliary, Digestive, and Endocrine Surgery, Cochin Hospital, Université Paris-Cité, Paris, France. borisamory@hotmail.com.

Mathilde LalaudeDepartment of Hepatobiliary, Digestive, and Endocrine Surgery, Cochin Hospital, Université Paris-Cité, Paris, France.

Ugo MarcheseDepartment of Hepatobiliary, Digestive, and Endocrine Surgery, Cochin Hospital, Université Paris-Cité, Paris, France.

Stylianos TzedakisDepartment of Hepatobiliary, Digestive, and Endocrine Surgery, Cochin Hospital, Université Paris-Cité, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical resection of perihilar cholangiocarcinoma (PHC) remains the only curative treatment.

methodsA 63-year-old woman with no significant past medical history was diagnosed with PHC following incidental cholestasis discovery. Magnetic resonance imaging and computed tomography revealed a 20-mm Bismuth-Corlette type IIIa PHC, confirmed as well-differentiated on endobiliary biopsy. Preoperative right portal vein embolization enabled future left lobe volume optimization (39% of total liver volume).

resultsA robot-assisted right trisectionectomy with main biliary confluence resection (H145678-B), lymphadenectomy (stations 7, 8, 9, 12, 13), and hepaticojejunal reconstruction was performed using the Da Vinci Xi

conclusionsThis case demonstrates the feasibility and safety of robot-assisted extended hepatectomy with biliary reconstruction for PHC in a highly selected patient. Robotic assistance may facilitate precise dissection and reconstruction in the hilum, supporting broader adoption in expert centers pending further comparative data.

Indexed as

Bile Duct NeoplasmsBiliary Tract Surgical ProceduresHepatectomyKlatskin TumorRobotic Surgical ProceduresCholestasisFemaleHumansIncidental FindingsJejunumLymph Node ExcisionMiddle AgedPlastic Surgery ProceduresTreatment Outcome

Identifiers

PMID41591564

DOI10.1016/j.ejso.2017.02.012

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