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Minimally Invasive Liver and Biliary Procedures

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Illustrative Handbook of General Surgery

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Abstract

Minimally invasive techniques have been applied to hepatobiliary surgery more frequently as comfort with and understanding of hepatobiliary surgery has grown. The goal is to technically perform the case as if it is an open procedure while taking advantage of the benefits minimally invasive surgery can bring, including decreased post-operative pain, time of ileus, and length of stay, as well as improved cosmesis. Techniques for minimally invasive hepatobiliary surgery include pure laparoscopic, hand-assisted laparoscopic, the hybrid approach (operation is started laparoscopically for mobilization of the liver and early dissection and followed by a small laparotomy for completion of the hepatic parenchymal transection], and more recently robotic-assisted. The following chapter describes minimally invasive techniques used for common hepatobiliary procedures. The illustrations and pictures that follow are adapted from a combination of laparoscopic, hand-assisted, and robotic-assisted cases, but note that regardless of the minimally invasive technology used, the approach and technique remain essentially the same.

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Acknowledgments

Illustrations used with kind permission from Randal S. McKenzie/McKenzie Illustrations.

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Authors and Affiliations

  1. Riverside Surgical Group, Department of Surgery, Lexington Medical Center, 146 North Hospital Drive, Suite 430, West Columbia, SC, 29169, USA

    M. Shirin Sabbaghian MD

  2. Surgical Oncology and General Surgery, Private Practice, Louisiana State University Health Sciences Center, 1307 Crowley Rayne Highway, Suite D Crowley, LA, 70526, USA

    M. Shirin Sabbaghian MD

  3. Division of Hepatobiliary and Pancreatic Surgery, University of Pittsburgh Medical Center, UPMC Liver Cancer Center, Montefiore Hospital, Pittsburgh, PA, 15213, USA

    Allan Tsung MD

Authors
  1. M. Shirin Sabbaghian MD
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  2. Allan Tsung MD
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Correspondence to Allan Tsung MD .

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Editors and Affiliations

  1. University of Wisconsin, Madison, Wisconsin, USA

    Herbert Chen

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© 2016 Springer International Publishing Switzerland

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Sabbaghian, M.S., Tsung, A. (2016). Minimally Invasive Liver and Biliary Procedures. In: Chen, H. (eds) Illustrative Handbook of General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24557-7_37

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  • DOI: https://doi.org/10.1007/978-3-319-24557-7_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24555-3

  • Online ISBN: 978-3-319-24557-7

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