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.
Dr. Alessandro Ferrero
Chief of General and Oncological Surgery,
Mauriziano Hospital,
Torino – Italy
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Difficult Cases
Focus on retroportal lamina resection in obese patient during pancrearticoduodenectomy
This video focus in a surgical strategy to perform a radical resection of the retroportal lamina in obese patients.
Video Cases
Hanging Manoeuvre for Left Hepatectomy for intra-hepatic Lithiasis
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.
Difficult Cases
Replaced Common Hepatic artery during laparoscopic Pancreaticoduodenectomy
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.
Technical Videos
Parenchimal sparing Laparoscopic Liver Resection
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
Difficult Cases
RAMPS with en-block resection of the first jejunal loop at the Treitz ligament for pancreatic adenoc
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.
Difficult Cases
Laparoscopic Pancreaticoduodenectomy and Sub-total Gastrectomy D2
This is the case of a patient having syncrhonous tumor of tha Papilla of Vater and of the greater Gastric curvature.
Re-live operations
Total duodeno pancreatectomy with spleen preservation
A.Manzoni, M.Garatti, G.Zimmitti, C.Codignola, V.Sega, E.Rosso
Department of General Surgery Ospedale Fondazione Poliambulanza, Brescia
Difficult Cases
En-bloc Laparoscopic Total Pancreatectomy with SMA-first approach for a mixed type IPMN
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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