677 Robotic Modified TajMahal Hepatectomy for Type IV Hilar cholangiocarcinoma

Dr. Raja Kalayarasan

Curative resection of Type IV hilar cholangiocarcinoma typically requires trisectionectomy, a procedure associated with high morbidity. The Taj Mahal hepatectomy, involving resection of segment IVb, V, and the caudate lobe, offers a parenchyma-preserving alternative. Since complete resection of segment IV facilitates caudate lobectomy and inclusion of segment V provides no added benefit, a modified approach—removing only segment IV (IVa & IVb) with caudate lobe—has been developed. The robotic performance of this modified procedure has not been reported previously in English literature. This video demonstrates the standardized technique of robotic modified Taj Mahal hepatectomy for Type IV hilar cholangiocarcinoma.
Procedure Innovation, Gastrointestinal Surgery, hilar cholangiocarcinoma

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