2008 Annual Meeting Abstracts
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Totally Laparoscopic Extended Right Hepatectomy
Andrew a. Gumbs*1,2, Brice Gayet2
1Upper GI and Endocrine Surgery, New York-Presbyterian Hospital, New York, NY; 2Medical and Surgical Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris, France
This video will demonstrate the relevant technical maneuvers necessary to perform a totally laparoscopic extended right hepatectomy. The five principal steps of this procedure include: mobilization of the liver, control of hepatic inflow, division of the hepatic parenchyma, control of the hepatic outflow and removal of the specimen. A total of 4 totally laparoscopic extended right hepatectomies have been successfully performed at our institution. Our short and long-term results have been similar to our open historical controls. No mortalities have been observed. The minimally invasive approach to hepatic resections is limited by the comfort level of the operator and not the technique.
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