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surgical intervention video

A laparoscopic right hemihepatectomy was performed for a gastric liver metastasis. After the dissection of the anatomical structure of the hepatic pedicle and an ultrasound examination, the right portal vein and the right branch of the hepatic artery were clamped, hence allowing to skeletonize the demarcation between the right liver and the left liver. The devascularization line was subsequently marked by means of electrocautery. The right hepatic branch and the right branch of the portal vein were divided between locked clips. The hepatotomy was started. The first very superficial centimeters were dissected using the Sonicision® Cordless Ultrasonic Dissection Device. No pedicular clamping was performed. The dissection followed the ischemic demarcation line between the right liver and the left liver. Hemostasis and biliostasis were completed using the Aquamantys® Bipolar Sealers. Once the first centimeters had been dissected, dissection was carried on using the CUSA™ ultrasonic dissector (Cavitron Ultrasonic Surgical Aspirator). Liver segment I was divided in order to open the posterior aspect of the hilar plate. The dissection was performed on the right border of the vena cava. The hilar plate was dissected, making it possible to control the right branch of the biliary tract intraparenchymally. The right hepatic vein was dissected and divided with an Endo GIA™ linear stapler. Makuuchi’s ligament was subsequently dissected and divided by means of a firing of the Endo GIA™ linear stapler, white cartridge. Mobilization of the right liver was completed by dividing the triangular ligament’s attachments at the level of the diaphragm. The right hepatectomy specimen was introduced into a bag, which was extracted through a suprapubic Pfannenstiel’s incision. Pneumoperitoneum pressure was diminished in order to control hemostasis and biliostasis. 

Laparoscopic right hemihepatectomy

腹腔镜右半肝切除术


Hemihepatectomía derecha laparoscópica


Лапароскопическая правосторонняя гемигепатэктомия

Hemi-hepatectomia direita laparoscópica


Hémihepatectomie laparoscopique droite


In this live interactive video, Professor Luc Soler provided a brief introduction of 3D reconstruction and modeling for precise tumor localization and future liver remnant before and after chemoembolization and right portal vein embolization. Dr. Soubrane briefly described the main principles, key steps, and preoperative planning in a 62-year-old male patient with hepatocellular carcinoma (HCC) and metabolic syndrome. He demonstrated the main technical aspects of port placement, hepatic pedicle dissection, exploration and dissection of vessels, and transection of liver parenchyma. 

LIVE INTERACTIVE SURGERY: laparoscopic right hepatectomy in a patient with hepatocellular carcinoma (HCC) and metabolic syndrome

LIVE хирургия: лапароскопическая правосторонняя гепатэктомия у пациента с гепатоцеллюлярной карциномой и метаболическим синдромом

CHIRURGIE LIVE INTERACTIVE: hépatectomie laparoscopique droite pour un patient avec carinome hépatocellulaire (HCC) et syndrôme métabolique


CIRUGÍA INTERACTIVA EN VIVO: hepatectomía derecha laparoscópica en paciente con carcinoma hepatocelular (CHC) y síndrome metabólico


实时交互式手术：腹腔镜右肝切除术治疗肝细胞癌（HCC）和代谢综合征


CIRURGIA INTERATIVA AO VIVO: hepatectomia direita laparoscópica em paciente com carcinoma hepatocelular (CHC) e síndrome metabólica


Pancreatectomia laparoscópica com preservação dos vasos esplênicos: transmissão ao vivo do IRCAD América Latina, Barretos, Brasil


腹腔镜胰腺切除保留脾脏血管：直播IRCAD拉丁美洲的，巴雷图斯，巴西


Pancreatectomía laparoscópica con preservación de los vasos esplénicos: transmisión en vivo desde el IRCAD América Latina, Barretos, Brasil


Лапароскопическая панкреатэктомия с сохранением сосудов селезёнки: трансляция из IRCAD America Latina, Барретос, Бразилия

Pancréatectomie laparoscopique avec préservation des vesseaux spléniques: une démonstration live de l'IRCAD America Latina à Barretos au Brésil


In this instructional video, Dr. Bernard Dallemagne demonstrated the main principles and key steps of laparoscopic pancreatectomy with the preservation of splenic vessels (Kimura technique) in a 58-year-old woman with a complex cyst of the body and tail of the pancreas. He briefly described the technical aspects and maneuvers for a better exposure and dissection of the inferior and superior border of the pancreas. He highlighted the tips and tricks for opening the gastrocolic ligament, the identification and dissection of vessels, the mobilization of the pancreas, dissection line reinforcement, and specimen removal.

Laparoscopic pancreatectomy with preservation of splenic vessels: a live broadcast from IRCAD America Latina, Barretos, Brazil

We reported a laparoscopic distal pancreatectomy with spleen resection for a mucinous cystic lesion. Four ports were positioned. The greater omentum was retracted to the superior part of the abdomen in order to detach the colon from the omentum and approach the lesser sac. The stomach was dissected. A tape was placed around the stomach through the abdominal wall, making it possible to retract the stomach at the level of the pyloric junction towards the upper part of the abdomen. A second tape was placed at the antral part in order to achieve a retraction towards the left hypochondrium at the superior part of the abdomen. The mesentericoportal axis was identified and dissected at the inferior border of the pancreas. The right gastroepiploic vein was one of the landmarks. The superior border of the pancreas was dissected in order to identify the splenic artery and a tape was positioned around it. The dissection was performed progressively at the anterior aspect of the mesentericoportal axis through an avascular channel. A tape was subsequently positioned around the pancreatic isthmus. The pancreas was divided with a stapler. The stapling was performed very progressively to avoid crushing the pancreas. The splenic vein was dissected in order to preserve the left gastric vein and a tape was positioned around it. The splenic artery was first divided between two clips on the remaining surface. The splenic vein was also divided. Dissection was pursued from the right to the left, making it possible to mobilize the pancreas. The inferior mesenteric vein was dissected and divided. Dissection of the posterior mesogastrium was initiated, making it possible to mobilize the splenopancreatic block. The dissection was performed anteriorly to the plane of Gerota’s fascia, anteriorly to the kidney. Since the posterior dissection was almost complete, our attention was turned to the superior part to complete the dissection of lesser sac adhesions at the superior border of the pancreas. It was necessary to divide the greater omentum by gradually dividing the short gastric vessels. Due to venous derivations linked to segmental portal hypertension, this dissection was performed through the application of the Endo GIA™ linear stapler. Since the entire specimen had been divided and freed, it was placed in a bag to be extracted through a suprapubic Pfannenstiel’s incision. 

Laparoscopic distal pancreatectomy with spleen resection

Pancreatectomia distal laparoscópica com ressecção do baço


Pancreatectomía distal laparoscópica con resección del bazo


Лапароскопическая дистальная панреатэктомия с резекцией селезёнки

腹腔镜远端胰腺切除术与脾切除术


Pancréatectomie laparoscopique distale avec résection de la rate


Percutaneous transhepatic biliary drainage is an effective method for the primary or palliative treatment of many biliary strictures. It is a procedure which includes the cannulation of an intrahepatic biliary tree using image-guided wire and catheter manipulation, and placement of a tube or stent for external and/or internal drainage. This video shows this technique applied in a patient with a pancreatic tumor. 

This is the case of an 80-year-old male patient with signs of jaundice and a diagnosis of intrahepatic and extrahepatic bile duct dilatation and pancreatic tumor. 

A transhepatic percutaneous biliary tract drainage was the therapeutic strategy. 

Transhepatic percutaneous biliary tract drainage

经肝胆道引流


Drenaje percutáneo transhepático del tracto biliar


Drainage percutané trans-hépatique des voies biliaires 


Drenagem percutânea trans-hepática do trato biliar


Транспечёночное чрескожное дренирование желчных путей

video lecture

Лапароскопическая гепатэктомия: основы и инструменты


Nesta palestra magistral, o Dr. Scatton se concentra na hepatectomia laparoscópica cobrindo o básico e os instrumentais.


Hepatectomia laparoscópica: básico e instrumentais

Hépatectomie laparoscopique : bases et étapes


In this key lecture, Dr. Scatton focuses on laparoscopic hepatectomy covering basics and gears. 

Laparoscopic hepatectomy: basics and gears

Фундаментальные методы лечения печени: передний доступ к правосторонней гемигепатэктомии, хвостатая доля печени, подход к левосторонней гемигепатэктомии 


In this key lecture, Dr. Yamamoto outlines fundamental liver techniques, and more particularly the anterior approach to right hemihepatectomy with caudate lobe as well as the approach to left hemihepatectomy.

Fundamental liver techniques: anterior approach to right hemihepatectomy with caudate lobe, approach to left hemihepatectomy

Techniques fondamentales du foie : approche antérieure pour hémihépatectomie droite avec lobe caudal, approche pour hémihépatectomie gauche


Nesta palestra magistral, o Dr. Yamamoto destaca as técnicas hepáticas fundamentais, particularmente a abordagem anterior para a hemi-hepatectomia direita com lobo caudado, bem como a abordagem para a hemi-hepatectomia esquerda.


Técnicas hepáticas fundamentais: abordagem anterior para a hemi-hepatectomia direita com lobo caudado, abordagem para a hemi-hepatectomia esquerda

In this authoritative lecture, Dr. Go Wakabayashi outlines fundamental liver techniques, and more specifically highlights fully laparoscopic, hybrid, and hand-assisted hepatectomies.

Fundamental liver techniques into fully laparoscopic, hybrid and hand-assisted hepatectomy

Techniques fondamentales du foie en hépatectomie totalement laparoscopique, hybride et assistée par la main


Фундаментальные методы лечения печени при полностью лапароскопической, гибридной и ручной гепатэктомии


Nesta palestra de especialista, o Dr. Go Wakabayashi destaca as técnicas hepáticas fundamentais e, mais especificamente, ressalta a hepatectomia totalmente laparoscópica, a híbrida e a assistida manualmente.


Técnicas hepáticas fundamentais para a hepatectomia totalmente laparoscópica, híbrida e assistida manualmente

In this authoritative lecture, Dr. Kaneko highlights new perspectives in hepatobiliary surgery and focuses on laparoscopic partial hepatectomy.

New perspectives in hepatobiliary surgery: laparoscopic partial hepatectomy

Новые перспективы в гепатобилиарной хирургии: частичная лапароскопическая панкреатэктомия


Nouvelles perspectives en chirurgie hépatobiliaire : hépatectomie partielle laparoscopique


Nesta palestra de especialista, o Dr. Kaneko destaca as novas perspectivas da cirurgia hepatobiliar e se concentra na hepatectomia parcial laparoscópica.


Novas perspectivas da cirurgia hepatobiliar: hepatectomia parcial laparoscópica

In this authoritative lecture, Dr. Horacio J Asbun outlines  basic principles and technical recommendations for laparoscopic pancreatectomy.

Basic principles and technical tips for laparoscopic pancreatectomy

Principes de base et conseils techniques pour la pancréatectomie laparoscopique


Базовые принципы и технические советы по поводу лапароскопической панкреатэктомии


Nesta palestra de especialista, o Dr. Horacio J. Asbun destaca os princípios básicos e as recomendações técnicas para a pancreatectomia laparoscópica.


Focus on Laparoscopic Hepatobiliary and Pancreatic Surgery