Jose Julio R Monteiro Filho, MD, Paulo Jose M Macedo, MD. Private Practice
Laparoscopic hepatectomy is a new procedure with several technical options. We present a video showing our technique as we are doing it since 2007. In this case it's a 36 years old patient that presented with a subacute case of abdominal pain due to a partially ruptured adenoma located in the left hepatic lobe. We start mobilizing the left lobe. Then a torniquet is prepared, to be closed from outside the abdomen in case a Pringle is needed. This patient had a left hepatic artery coming from the left gastric and it was ligated with clips. A small hepatotomy is done close to Arantius ligament and at the base of segment 4 and a linear stapler is applied and gently fired. The hepatotomy line is demarcated. The hepatotomy is done with a combination of advanced bipolar, ultrassonic aspirator and stapler. The specimen is placed inside a bag to be removed through a suprapubic incision. The raw surface is coagulated and a biologic glue is applied. At the end, a drain is left.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87044
Program Number: V103
Presentation Session: Friday Exhibit Hall Theater (Non CME)
Presentation Type: EHVideo