Abstract
Background With the progress achieved in transplant surgeries an improved long-term survival of patients is obtained due to more effective immunosuppressant therapy. De novo malignancy (DNM) has gained interest in this group of patients. DNM are a major cause of late mortality after liver transplantation. Methods We report the case of a patient who underwent orthotopic liver transplantation with right hemi liver (right split) 18 years ago who came to our attention for gastric cancer. We performed a robotic subtotal gastrectomy D2 lymphadenectomy with manual latero lateral trans mesocolic BII gastro jejunal anastomosis using da Vinci robotic surgery system at our hospital. Results The operation was successful, the operative time was 230 minutes, the intraoperative blood loss was 100 ml. The patient was discharged on day 8 after surgery, and no complications occurred. Postoperative pathological stages were pT2 N0 (0/25). During follow-up period, patient was in good health without long-term complications. Conclusion Robotic approach is feasible in patients after liver transplantation.
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