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25-02-2023 | Cholangiocarcinoma | ASO Author Reflections

ASO Author Reflections: Robotic Perihilar Cholangiocarcinoma Beyond Technical Feasibility

Authors: Fabrizio Di Benedetto, MD, PhD, FACS, Paolo Magistri, MD, FACS, Stefano Di Sandro, MD, PhD

Published in: Annals of Surgical Oncology | Issue 5/2023

Excerpt

Perihilar cholangiocarcinoma (PHC) represents a major challenge for surgeons because of several perioperative conditions: preoperative jaundice management and risk of infections, evaluation of tumor extension and assessment of the future liver remnant (FLR), and risk of post-hepatectomy liver failure (PHLF) due to the cholestatic liver. All these conditions increase the risk of perioperative mortality, which exceeds 15% in some series—posing the urgency for novel standards of care.¹ In addition, the complexity of biliary resection and reconstruction limited the diffusion of minimally invasive strategies so far. …

Mueller M, Breuer E, Mizuno T, et al. Perihilar cholangiocarcinoma—novel benchmark values for surgical and oncological outcomes from 24 expert centers. Ann Surg. 2021;274(5):780–8. https://doi.org/10.1097/SLA.0000000000005103.CrossRefPubMed

Nagino M. Left hepatic trisectionectomy with caudate lobectomy: demanding but essential routine surgical procedure for perihilar cholangiocarcinoma. Ann Surg. 2021;274(6):e638–40. https://doi.org/10.1097/SLA.0000000000005201.CrossRefPubMed

Di Benedetto F, Magistri P, Di Sandro S. Perihilar-cholangiocarcinoma: what really matters? Hepatobiliary Surg Nutr. 2022;11(4):616–9.CrossRefPubMedPubMedCentral

Qin T, Wang M, Zhang H, et al. The long-term outcome of laparoscopic resection for perihilar cholangiocarcinoma compared with the open approach: a real-world multicentric analysis. Ann Surg Oncol. 2022. https://doi.org/10.1245/s10434-022-12647-1.CrossRefPubMedPubMedCentral

Di Benedetto F, Magistri P, Catellani B, et al. Robotic Left Hepatectomy with en bloc Caudatectomy and Multiple Biliary Anastomosis for Perihilar Cholangiocarcinoma. Ann Surg Oncol. 2023. https://doi.org/10.1245/s10434-022-13091-x.

Title: ASO Author Reflections: Robotic Perihilar Cholangiocarcinoma Beyond Technical Feasibility
Authors: Fabrizio Di Benedetto, MD, PhD, FACS
Paolo Magistri, MD, FACS
Stefano Di Sandro, MD, PhD
Publication date: 25-02-2023
Publisher: Springer International Publishing
Keywords: Cholangiocarcinoma
Cholangiocarcinoma
Minimally Invasive Surgery
Published in: Annals of Surgical Oncology / Issue 5/2023
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-023-13175-2

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ASO Author Reflections: Robotic Perihilar Cholangiocarcinoma Beyond Technical Feasibility

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Keynote webinar | Spotlight on medication adherence

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