This talk was presented by Horacio Asbun, 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. Asbun reviews indications for extra-hepatic biliary surgery. How to approach the hepatoduodenal ligament is discussed with many expert pearls. Technical steps on how to dissect the intra-pancreatic bile duct for choledochal cysts are specifically reviewed to include tips on how to avoid pancreatic or duodenal injury. Emphasis is made on pre-operative mapping of the pancreatic ductal anatomy. Technique on methods of transection of the bile duct and preparation for laparoscopic HJ are annotated and demonstrated masterfully in video and expert discussion.
