After a long validation phase, minimally invasive hepato-bilio-pancreatic surgery is now in full development with a growing number of European and World Centres that have achieved top technical standards in using this approach, for the benefit of many patients.
Aim of this surgical technique is to provide the best possible treatment for the most frequent liver, biliary and pancreatic tumours and benign disorders, with less invasiveness for the patient, less pain and a faster post-operative recovery.
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This is the case of a 63 years old female with recurrent cholangitis among who was indentified left-hepatic stones with biliary duct stenosis. The patient underwent a full laparoscopic left hepatectomy with a modified hanging manoeuvre. The post-operative was uneventfull.
Replaced common hepatic artery constitutes a rare but seriuous anatomical variation of the hepatic artery during pancreaticoduodenectomy. Hereby, we report a technique to deal with such a situation during laparoscopic pancreaticoduodenectomy.
Laparoscopic limited resection for colorectal liver metastases at the hepatocaval confluence
Surgeons: A.Ferrero, R. Lo Tesoriere, N. Russolillo
Ospedale Mauriziano "Umberto I" Department of General and Oncological Surgery - Turin, Italy
This is the case of a patient with adenocarcinoma of the body of the pancreas and invasion of the first jejunal loop at the level of Treitz ligament.
This is the case of a patient having syncrhonous tumor of tha Papilla of Vater and of the greater Gastric curvature.
A.Manzoni, M.Garatti, G.Zimmitti, C.Codignola, V.Sega, E.Rosso
Department of General Surgery Ospedale Fondazione Poliambulanza, Brescia
A.Manzoni, G.Zimmitti, M.Ramera, V.Sega, E.Treppiedi, F.Guerini, M.Garatti, C.Codignola, E.M.Rosso
Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza Brescia.
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