First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report

Surgical resection remains the best choice for the treatment of liver tumors. Hepatectomy combined with artificial vascular reconstruction has been proven as an alternative to treating tumors involving the main hepatic veins. As the cutting-edge surgical technique, robotic liver surgery is a novel p...

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Main Authors: Jilong Wang, Zongrui Jin, Banghao Xu, Weitao Chen, Jianyong Zhang, Hai Zhu, Tingting Lu, Ling Zhang, Ya Guo, Zhang Wen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2022.904253/full
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author Jilong Wang
Zongrui Jin
Banghao Xu
Weitao Chen
Jianyong Zhang
Hai Zhu
Tingting Lu
Ling Zhang
Ya Guo
Zhang Wen
author_facet Jilong Wang
Zongrui Jin
Banghao Xu
Weitao Chen
Jianyong Zhang
Hai Zhu
Tingting Lu
Ling Zhang
Ya Guo
Zhang Wen
author_sort Jilong Wang
collection DOAJ
description Surgical resection remains the best choice for the treatment of liver tumors. Hepatectomy combined with artificial vascular reconstruction has been proven as an alternative to treating tumors involving the main hepatic veins. As the cutting-edge surgical technique, robotic liver surgery is a novel procedure expanding the field of minimally invasive approaches, especially in complex reconstruction. This study reports, for the first time, on a robotic hepatectomy with middle hepatic vein (MHV) reconstruction using an expanded polytetrafluoroethylene (ePTFE) graft for a patient with hepatic adenoma. The tumor, which was located in segment 8, was adjacent to the MHV. Robot-assisted resection of segment 4 and partial segment 8, and MHV reconstruction using a ePTFE graft were performed. During the post-operative examination and follow-up, the blood flow of the ePTFE graft was patent, and liver function recovered well. Thus, robotic hepatectomy with MHV reconstruction is a safe, minimally invasive, and precise surgery that may provide a novel approach for patients with liver tumors that are invading or adjacent to the main hepatic veins.
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spelling doaj.art-78f7af5abfe849a18dbc0737391bf81d2022-12-22T00:32:42ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-06-01910.3389/fsurg.2022.904253904253First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case ReportJilong WangZongrui JinBanghao XuWeitao ChenJianyong ZhangHai ZhuTingting LuLing ZhangYa GuoZhang WenSurgical resection remains the best choice for the treatment of liver tumors. Hepatectomy combined with artificial vascular reconstruction has been proven as an alternative to treating tumors involving the main hepatic veins. As the cutting-edge surgical technique, robotic liver surgery is a novel procedure expanding the field of minimally invasive approaches, especially in complex reconstruction. This study reports, for the first time, on a robotic hepatectomy with middle hepatic vein (MHV) reconstruction using an expanded polytetrafluoroethylene (ePTFE) graft for a patient with hepatic adenoma. The tumor, which was located in segment 8, was adjacent to the MHV. Robot-assisted resection of segment 4 and partial segment 8, and MHV reconstruction using a ePTFE graft were performed. During the post-operative examination and follow-up, the blood flow of the ePTFE graft was patent, and liver function recovered well. Thus, robotic hepatectomy with MHV reconstruction is a safe, minimally invasive, and precise surgery that may provide a novel approach for patients with liver tumors that are invading or adjacent to the main hepatic veins.https://www.frontiersin.org/articles/10.3389/fsurg.2022.904253/fullcase reportsrobotic surgical procedureshepatectomyhepatic veinsvascular graftingliver cell adenoma
spellingShingle Jilong Wang
Zongrui Jin
Banghao Xu
Weitao Chen
Jianyong Zhang
Hai Zhu
Tingting Lu
Ling Zhang
Ya Guo
Zhang Wen
First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
Frontiers in Surgery
case reports
robotic surgical procedures
hepatectomy
hepatic veins
vascular grafting
liver cell adenoma
title First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
title_full First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
title_fullStr First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
title_full_unstemmed First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
title_short First Robotic Hepatectomy With Middle Hepatic Vein Reconstruction Using ePTFE Graft for Hepatic Adenoma: A Case Report
title_sort first robotic hepatectomy with middle hepatic vein reconstruction using eptfe graft for hepatic adenoma a case report
topic case reports
robotic surgical procedures
hepatectomy
hepatic veins
vascular grafting
liver cell adenoma
url https://www.frontiersin.org/articles/10.3389/fsurg.2022.904253/full
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