Multimedia article. Totally laparoscopic extended right hepatectomy.
BACKGROUND
This video demonstrates the relevant technical maneuvers necessary for performing a totally laparoscopic extended right hepatectomy.


METHODS
The five principal steps of this procedure include mobilization of the liver, control of hepatic inflow, division of the hepatic parenchyma, control of the hepatic outflow, and removal of the specimen.


RESULTS
A total of five totally laparoscopic extended right hepatectomies have been performed successfully at our institution. Our short- and long-term results have been similar to those for our open historical control subjects. No mortalities have been observed.


CONCLUSIONS
The minimally invasive approach to hepatic resections is limited by the comfort level of the operator and not the technique itself.
Gumbs
Andrew A
AA
Department of Digestive Diseases, Institut Mutualiste Montsouris, University Paris V, Paris, France.
Gayet
Brice
B
D000230:Adenocarcinoma / Q000098:blood supply / Q000150:complications / Q000601:surgery / Q000628:therapy; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery; D004621:Embolization, Therapeutic; D005706:Gallbladder Neoplasms / Q000098:blood supply / Q000150:complications / Q000601:surgery / Q000628:therapy; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D033162:Incidental Findings; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011169:Portal Vein