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Title
Animation
1. Introduction
2. Diagnostic Laparoscopy and Placement of Robotic Ports
3. Robot Docking
4. Liver Ultrasound
5. Liver Retraction
6. Pars Flaccida Incision and Gastrohepatic Ligament Takedown to Expose Station 8a Lymph Node
7. Station 8a Lymph Node Dissection to Expose Common Hepatic Artery and Gastroduodenal Artery (GDA)
8. Common Hepatic Artery, Proper Hepatic Artery, and GDA Dissection and Division of Branches to Duodenum to Prevent Aberrant Flow
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a. Right Gastric Artery Ligation
b. Ligation of a Suspected Aberrant Branch of GDA
c. Station 8a Lymph Node Excision
9. Creation of Subcutaneous Pocket for Pump
10. Hepatic Artery Infusion Pump Placement
11. ICG and Methylene Blue Tests to Rule Out Aberrant Flow
12. Hemostasis, TAP Blocks, and Robot Undocking
13. Placement of Pump in Subcutaneous Pocket
14. Closure
15. Post-op Remarks
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Hepatic Artery Infusion (HAI) Pump Placement For Unresectable Intrahepatic Cholangiocarcinoma with Vessel Abutment and Intrahepatic Metastasis
Rushin D. Brahmbhatt, MD
Penn State Health Milton S. Hershey Medical Center
Tags:
General Surgery
Oncologic Surgery
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Authors
Rushin D. Brahmbhatt, MD
Filmed At:
Penn State Health Milton S. Hershey Medical Center
Article Information
Publication Date
10/10/2025
Article ID
500
Production ID
0500
Volume
2025
Issue
500
DOI
https://doi.org/10.24296/jomi/500