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Chinese Journal of Laparoscopic Surgery(Electronic Edition) ›› 2023, Vol. 16 ›› Issue (02): 116-119. doi: 10.3877/cma.j.issn.1674-6899.2023.02.011

• Clinical Technology • Previous Articles     Next Articles

Conversion therapy combined with robot assisted right hemihepatectomy for a patient with hepatocellular carcinoma through Laennec approach

Yajuan Cao, Binghua Li, Decai Yu()   

  1. Hepatobiliary and Pancreatic Center & Liver Transplantation Center, The Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing 210008, China
  • Received:2022-12-02 Online:2023-04-30 Published:2023-05-10
  • Contact: Decai Yu

Abstract:

Objective

To summarize the feasibility and advantages of robot assisted right hemihepatectomy in a patient with advanced hepatocellular carcinoma underwent conversion therapy.

Methods

A retrospective analysis of the clinical data about a patient underwent this novel procedure in the Department of General Surgery, Gulou Hospital Affiliated to the School of Medicine of Nanjing University in Aug. 2022.

Results

The patient with advanced hepatocellular carcinoma underwent conversion therapy, whose tumor was successfully downstaged, and received radical surgery. Less intraoperative bleeding, no postoperative infection, bleeding, biliary fistula and so on. Tumor markers and related imaging examinations showed no abnormalities 6 months after the surgery.

Conclusions

It is expected to improve the long-term prognosis of patients with advanced hepatocellular carcinoma by applying the concept of conversion therapy combined with Laennec approach minimally invasive endoscopy to enhance the pathological remission rate and surgical resection rate.

Key words: Hepatocellular carcinoma, Conversion therapy, Robot assisted surgery, Hepatectomy

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