Left lateral sectionectomy [case 12]

OR Footage

Summary of surgeons' findings and slowing down moments

Operating surgeon: Dr. Gallinger

  • Critical imaging findings:
    1. Uncertain location of tumor
    2. Possible procedures:
      Sg2-3 wedge resection
      Left lateral sectionectomy
      Left hepatectomy
  • Procedure-specific moments:
    1. Dividing the left hepatic vein
    2. Any aberrant hepatic arteries
    3. Dissect ligamentum venosum
    4. Avoid porta hepatis

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

Determining transection margins
Unplanned moment: bleeding from Sg3 artery
Unplanned moment: Avulsion and repair of Sg2 artery
Dissecting left hepatic vein branch from Sg3
Unplanned moment: Revising surgical margins
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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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