# Single-port robot-assisted hepatectomy of segments S4b and S5v: A case report

**Authors:** Xin Lan, Jian Feng, Chenglin Piao, Qiang Li, Zhenduo Si, Chao Zhang, Jianjun Leng

PMC · DOI: 10.1016/j.iliver.2026.100223 · 2026-02-04

## TL;DR

A 63-year-old man with liver cancer successfully had a minimally invasive robotic surgery to remove specific liver segments after initial treatments.

## Contribution

Demonstrates the feasibility of single-port robotic hepatectomy for specific liver segments.

## Key findings

- The patient had a 4 cm incision and 200 mL blood loss during the robotic surgery.
- He recovered well and was discharged on postoperative day 7.
- The procedure used the SHURUI single-port robotic system for segments S4b and S5v.

## Abstract

We report a 63-year-old man with hepatocellular carcinoma who initially underwent transcatheter arterial chemoembolization and two cycles of targeted therapy combined with immunotherapy, which achieved a partial response. He then successfully underwent single-port robot-assisted resection of liver segments S4b and S5v using the SHURUI single-port robotic system. The surgical incision measured 4 cm, intraoperative blood loss was 200 mL, and the operation time was 240 minutes. He recovered well and was discharged on postoperative day 7.

## Linked entities

- **Diseases:** hepatocellular carcinoma (MONDO:0007256)

## Full-text entities

- **Genes:** AFP (alpha fetoprotein) [NCBI Gene 174] {aka AFPD, FETA, HPAFP}
- **Diseases:** jaundice (MESH:D007565), bleeding (MESH:D006470), hepatocellular carcinoma (MESH:D006528), necrotic (MESH:D009336), fever (MESH:D005334), blood (MESH:D006402), liver mass (MESH:D008107), Cirrhosis (MESH:D005355), abdominal pain (MESH:D015746), blood loss (MESH:D016063), tumor (MESH:D009369), diabetes (MESH:D003920)
- **Chemicals:** sintilimab (MESH:C000632826), empagliflozin (MESH:C570240), bevacizumab (MESH:D000068258)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12925145/full.md

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Source: https://tomesphere.com/paper/PMC12925145