Total Robotic Alpps Approach For Hepatocellular Carcinoma In Cirrhotic Liver

Background Hepatocellular carcinoma (HCC) is a common indication for associating liver partition with portal vein ligation for staged hepatectomy (ALPPS). Robotic liver resection has been done for HCC, but robotic ALPPS is a rare procedure.Methods To present three cases of totally robotic ALPPS in cirrhotic patients with HCC.Results Three cirrhotic male patients with HCC underwent ALPPS; the mean age was 54.3 years. MELD score was <= 9 and tumour size between 90 and 140 mm. The mean hypertrophy of the future liver remnant after the first stage was 77.5% and no postoperative liver failure was reported. Mean operative time of stage 1 was 7:30 h and of stage 2 was 4:37 h, without blood transfusion. The mean hospital stay for the first stage was 10 days and for the second stage was 9.3 days. No postoperative complication was recorded.Conclusions Robotic ALPPS in cirrhotic patients with HCC is safe and feasible.