This talk was presented by Go Wakabayashi, MD at the Postgraduate Course: ILLS Joint Session – Techniques of Laparoscopic Liver Resection Video Session and Liver Tumor Board on Thursday, March 23, 2017 at the SAGES 2017 Annual Meeting.
Dr. Wakabayashi demonstrate the technique of pedicle control for almost every segment in the liver. Due to diseased liver parenchyma ( cirrhosis, fibrosis, NASH, …), risk of recurrence of secondary malignancies ( CRLM/NETs…), and even post-operative risk of liver failure, Parenchymal preserving surgery should be the goal. Dr. wakabayashi demonstrates the ability to find, control, and transect segmental pedicles within the liver. Decreasing the risk of hemorrhage when resection is done, preserves liver parenchyma, and decreases postop risk of liver insufficiency.