title: Laparoscopic left hepatectomy for liver metastases at a national cancer center.
abstract: This video describes the techniques necessary to perform left hepatectomy (including removal of hepatic segments I-IV) for secondary cancers using totally laparoscopic techniques. Extra-parenchymal control of hepatic inflow will be emphasized. Methods of hepatic parenchymal transection using the ultrasonic shears and laparoscopic bipolar device will be shown. Short-term oncologic outcomes regarding margin status and lymph node retrieval will be discussed. These procedures should currently be performed in high-volume cancer centers with expertise in minimally invasive techniques.
authors.affiliation: Department of Surgery, Mercy Hospital, Philadelphia, Pennsylvania, USA.
authors.forename: Angel
authors.initials: A
authors.lastname: Rodriguez
authors.forename: Andrew A
authors.initials: AA
authors.lastname: Gumbs
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged