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Laparoscopic Liver Surgery in Obese Patients
Lilian Schwarz, Thomas Aloia, Jean-Nicolas Vauthey, Claudius Conrad^*

Surgical Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX

Today at least a third of men and women in the US are obese resulting in new disease entities such as adenomas or hepatocellular carcinoma in obese males and cholangiocellular carcinoma in a background of non-alcoholic fatty liver disease. Laparoscopic liver surgeons must take special pre-, intra-, and postoperative consideration in ensuring optimal outcomes. This video aims to address patient selection and positioning, parenchymal transection, resection after weight-loss surgery, limitations of intraoperative ultrasonography, techniques for managing parenchymal bleeding, omental advancement flap use, closure of trocar orifices and postoperative care. The oncologic management of these obese patients requires a tailored approach.

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Back to 2015 Annual Meeting Program