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Laparoscopic Hilar Resection With Roux-en-Y Hepatico-Jejunostomy
Juan Toro*, Nathan Lytle, Ankit Patel, S. Scott Davis, Edward Lin, Juan M. Sarmiento
Surgery, Emory University, Atlanta, GA

Several series demonstrate the safety and feasibility of laparoscopy for complex hepatobiliary procedures. These reports show the results of laparoscopic liver resections for different types of neoplasms and benign diseases such as choledochal cysts. However, the adoption of laparoscopic resection with common bile duct excision is still uncommon due to technical complexity and longer operative times. We perform laparoscopic extended hepatectomies with biliary reconstructions using minimally invasive surgical technique. In this video, we demonstrate our technique for right and left extended hepatectomies with Roux-en-Y hepaticojejunostomy. This approach allows superior visualization.


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