{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:48:57Z","timestamp":1784580537180,"version":"3.55.0"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007052","name":"Universit\u00e0 degli Studi di Verona","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007052","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Recent innovations such as robotic platforms and liver venous deprivation (LVD) have the potential to improve the management and surgical treatment of peri-hilar cholangiocarcinoma (Ph-CCA). Robotic platforms integrate the operative field view with intraoperative ultrasound and preoperative 3D planning.\n                      <jats:sup>1\u20134<\/jats:sup>\n                      LVD is increasingly preferred over portal vein embolization for better liver hypertrophy outcomes in both speed and percentage.\n                      <jats:sup>5<\/jats:sup>\n                      This video demonstrates the feasibility of fully robotic right hepatectomy with common bile duct resection and reconstruction for Ph-CCA after LVD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>A Bismuth 3a Ph-CCA was diagnosed in a 74-year-old female with jaundice. Preoperatively, the patient underwent 3D volumetry and planning and percutaneous drainage of left biliary ducts. The future remnant liver volume increased from 38 to 53% of total liver volume after LVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique<\/jats:title>\n                    <jats:p>\n                      Four robotic trocars and one laparoscopic port were placed, and the da Vinci Xi system was docked. En-bloc regional lymphadenectomy was performed, followed by isolation of the hepatic pedicle elements. After mobilization of the caudate lobe and section of the distal common bile duct, the en-bloc right hepatectomy was carried out. A single biliodigestive anastomosis was performed on B2-3-4 on an antecolic Roux-&amp;-Y jejunal loop. The operative time was 810 min. The blood loss was 500 mL. The patient was discharged on postoperative day 16. The pathology confirmed pT2b N0 (0\/11 nodes) R0r R0b\n                      <jats:sup>6,7<\/jats:sup>\n                      G2 Ph-CCA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although this was a very demanding and challenging approach for both the patient and the surgical team, this video demonstrates the feasibility of this management and probably sets the goal for a new standard of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1245\/s10434-025-18422-2","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T14:36:43Z","timestamp":1759329403000},"page":"622-623","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Robotic Right Hepatectomy for Peri-Hilar Cholangiocarcinoma after Liver Venous Deprivation"],"prefix":"10.1245","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7110-1974","authenticated-orcid":false,"given":"Simone","family":"Conci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Calderone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Ruzzenente","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,1]]},"reference":[{"issue":"1","key":"18422_CR1","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1007\/s13304-022-01365-8","volume":"75","author":"A Ruzzenente","year":"2023","unstructured":"Ruzzenente A, Alaimo L, Conci S, et al. Hyper accuracy three-dimensional (HA3D\u2122) technology for planning complex liver resections: a preliminary single center experience. Updates Surg. 2023;75(1):105\u201314.","journal-title":"Updates Surg."},{"issue":"1","key":"18422_CR2","doi-asserted-by":"publisher","first-page":"znad4288","DOI":"10.1093\/bjs\/znad428","volume":"111","author":"A Ruzzenente","year":"2024","unstructured":"Ruzzenente A, Alaimo L, D\u2019Onofrio M, et al. Perihilar cholangiocarcinoma: three-dimensional modelling algorithm to estimate tumour extension and bile duct resection margins. Br J Surg. 2024;111(1):znad4288.","journal-title":"Br J Surg."},{"issue":"4","key":"18422_CR3","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1016\/j.jsurg.2023.12.018","volume":"81","author":"L Alaimo","year":"2024","unstructured":"Alaimo L, Marchese A, Vignola D, et al. The role of three-dimensional modeling to improve comprehension of liver anatomy and tumor characteristics for medical students and surgical residents. J Surg Educ. 2024;81(4):597\u2013606.","journal-title":"J Surg Educ."},{"key":"18422_CR4","first-page":"91","volume":"4","author":"A Ruzzenente","year":"2020","unstructured":"Ruzzenente A, Alaimo L, Conci S, et al. Robotic liver surgery: literature review and current evidence. Mini-invas Surg. 2020;4:91.","journal-title":"Mini-invas Surg."},{"issue":"7","key":"18422_CR5","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1093\/bjs\/znaa149","volume":"108","author":"J Heil","year":"2021","unstructured":"Heil J, Korenblik R, Heid F, et al. Preoperative portal vein or portal and hepatic vein embolization: DRAGON collaborative group analysis. Br J Surg. 2021;108(7):834\u201342.","journal-title":"Br J Surg."},{"issue":"2","key":"18422_CR6","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1159\/000535995","volume":"41","author":"M De Bellis","year":"2024","unstructured":"De Bellis M, Mastrosimini MG, Capelli P, et al. The relevance of radial margin status in perihilar cholangiocarcinoma: a state-of-the-art narrative review. Dig Surg. 2024;41(2):92\u2013102.","journal-title":"Dig Surg."},{"issue":"24","key":"18422_CR7","doi-asserted-by":"publisher","first-page":"6126","DOI":"10.3390\/cancers14246126","volume":"14","author":"M De Bellis","year":"2022","unstructured":"De Bellis M, Mastrosimini MG, Conci S, et al. The prognostic role of true radical resection in perihilar cholangiocarcinoma after improved evaluation of radial margin status. Cancers (Basel). 2022;14(24):6126.","journal-title":"Cancers (Basel)."}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-025-18422-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-025-18422-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-025-18422-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T14:09:56Z","timestamp":1765289396000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-025-18422-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["18422"],"URL":"https:\/\/doi.org\/10.1245\/s10434-025-18422-2","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,1]]},"assertion":[{"value":"13 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflicts of interest.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}]}}