This operative video demonstrates robotic ultrasound-guided microwave ablation of multiple bilobar hepatic metastases from an enteric neuroendocrine tumor, combined with wedge resection of a peripheral liver metastasis and resection of a mesenteric lymph node metastasis.

Intraoperative ultrasound was used to localize lesions and guide precise ablation while preserving uninvolved liver parenchyma. Robotic instrumentation facilitates controlled dissection and accurate probe placement during complex hepatobiliary procedures.

The patient recovered well and was discharged home on postoperative day one.