Laparoscopic liver wedge resection [Case 19]

OR Footage

Summary of surgeons' findings and slowing down moments:

Dr. Sapisochin's patient-specific moments:

  1. Rule out portal hypertension, ascites, splenomegaly
  2. No decompensation
  3. Laparoscopic Sg6 Wedge resection
  4. Proximity of lesion to colon, no invasion
  5. Peripheral lesion away from portal structures
  6. Plan for Pringle maneuver

Dr. McGilvray's patient-specific moments:

  1. Left-sided hypertrophy, right-sided atrophy
  2. Laparoscopic peripheral Sg 5-6 Wedge resection
  3. Reflect colon away from liver
  4. Two plane transection approach
  5. Plan for Pringle maneuver

Watch the following videos from the operation to see some of the key moments in the case.

Exposure and Pringle maneuver
Parenchymal transection
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Acknowledgements
Thank you to the HPB Surgeons who contribute their time and expertise. This content is made possible through educational grants from:
AHPBA IHPBA Ethicon

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