Laparoscopic Liver, Pancreas, and Biliary Surgery
Textbook and Illustrated Video Atlas

Laparoscopic Liver, Pancreas, and Biliary Surgery is an essential learning tool for all surgeons who manage patients considered for minimally invasive liver, pancreas and biliary surgery.

Led by Brice Gayet and Claudius Conrad, pioneers in laparoscopic liver, pancreas and biliary surgery, the authors have created a highly focused and multi–dimensional tool that takes the surgeon through the surgical procedures, one step at a time. Using a combination of text, illustrations, and high–definition videos, the authors explain and illustrate their excellence in surgical technique in a detailed and reproducible fashion.

The textbook contains contribution from world renowned experts and thought leaders in the field. They discuss key management concepts in the oncologic management of patients undergoing minimally invasive liver, pancreas and biliary resections.

The accompanying comprehensive video atlas contains high–definition videos with a focus on true anatomic resections. The videos are supported by outstanding illustrations and 3D renderings of the relevant anatomy.

The authors expertly and logically demonstrate how to perform anatomic and non–anatomic liver, pancreas and biliary resections expertly and logically. They cover patient and port positioning for laparoscopic and robotic approaches, detailed anatomy, and didactic breakdown of the operation. Including numerous surgical tips and tricks, and practical reviews for the management of patients with liver, pancreas and biliary diseases before, during and after operations the volume covers:

• Essential techniques (e.g. intraoperative ultrasound);
• Segmentectomies (I–VIII) and bisegmentectomies;
• Major hepatectomies, extended resections and living donor liver transplantation;
• Pancreatectomies (e.g. Whipple) and Biliary resections;
• Advanced laparoscopic technologies and robotics.

This unparalleled resource will help a wide range of surgeons including liver, pancreas, and biliary specialists, general surgeons, transplant surgeons, and surgical oncologists –– to improve their surgical technique of both open and minimally invasive surgery.

List of contributors, vii

Foreword by Norihiro Kokudo, xi

Foreword by Keith D. Lillemoe, xii

Foreword by Jean–Nicolas Vauthey, xiii

Preface by Brice Gayet, xv

Preface by Claudius Conrad, xvii

Acknowledgments, xix

About the companion website, xxi

Part I: Textbook

Section 1: General considerations for advanced laparoscopic hepatopancreatobiliary surgery

1 The development of minimal access hepatopancreatobiliary surgery, 3
Ruchir Puri, Nicolas Paleari, John Stauffer, and Horacio J. Asbun

2 Acquisition of specific laparoscopic skills for laparoscopic hepatopancreatobiliary surgery, 17
Soeren Torge Mees and Guy Maddern

3 Optimal operating room set–up and equipment used in laparoscopic hepatopancreatobiliary surgery, 28
Satoshi Ogiso, Kenichiro Araki, Brice Gayet, and Claudius Conrad

4 Augmented reality for laparoscopic liver surgery, 47
Kate Gavaghan, Matteo Fusaglia, Matthias Peterhans, and Stefan Weber

5 Imaging of hepatopancreatobiliary diseases, 62
Motoyo Yano, Hillary Shaw, and Kathryn J. Fowler

6 Role of staging laparoscopy in hepatopancreatobiliary malignancies, 85
Anil K. Agarwal, Raja Kalayarasan, and Amit Javed

7 Interventional radiology in the management of hepatopancreatobiliary malignancy and surgical complications, 100
Steven Y. Huang and Michael J. Wallace

8 Robotic hepatopancreatic surgery, 120
Hop S. Tran Cao, Claudius Conrad, and Matthew H.G. Katz

9 Enhanced recovery after hepatopancreatobiliary surgery, 141
David Fuks, Thomas A. Aloia, and Brice Gayet

Section 2: Advanced laparoscopic hepatobiliary surgery

10 Relevant hepatobiliary anatomy, 148
Tadatoshi Takayama, Masatoshi Makuuchi, and Kimitaka Kogure

11 Anesthesia for laparoscopic liver surgery, 169
Jonathan A. Wilks and Vijaya N.R. Gottumukkala

12 Oncological management of primary liver cancer in the era of minimal access surgery, 185
Jennifer Chan

13 Oncological management of colorectal liver metastases in the era of minimal access surgery, 200
Jennifer Chan

14 Resection of noncolorectal liver metastases, 214
Universe Leung and William R. Jarnagin

15 Intraoperative laparoscopic ultrasound for laparoscopic hepatopancreatobiliary surgery, 231
Kenichiro Araki and Claudius Conrad

16 Minimally invasive liver surgery: indications and contraindications, 238
Thomas A. Aloia

17 Laparoscopy (hybrid) and hand–assisted laparoscopy in liver surgery: why, when, and how? 250
Yasushi Hasegawa and Go Wakabayashi

18 Ablation strategies for tumors of the liver and pancreas, 257
Danielle K. DePeralta and Kenneth K. Tanabe

19 Technical considerations for advanced laparoscopic liver resection, 273
Ho–Seong Han

20 Laparoscopic left lateral sectionectomy and left hepatectomy for living donation, 278
Claire Goumard and Olivier Scatton

Section 3: Advanced laparoscopic pancreas surgery

21 Pancreatic anatomy in the era of extensive and less invasive surgery, 287
Yoshihiro Sakamoto, Yoshihiro Mise, and Norihiro Kokudo

22 Management of solid and cystic lesions of the pancreas, 298
David Fogelman and Robert A. Wolff

23 Laparoscopic pancreatic surgery, 322
Daniel Richard Rutz and David A. Kooby

24 Indications and contraindications for laparoscopic pancreas surgery, 337
Hanno Niess and Jens Werner

Part II: Video Atlas

List of Part II Video and Figure Abbreviations, 350

Section 1: Liver Laparoscopic minor liver resection and segmentectomy

1 Intraoperative ultrasonography for safe laparoscopic livery surgery, 351

2 Left lateral sectionectomy, 355

3 Left lateral sectionectomy using a laparoscopic single access device, 360

4 Segmentectomy I with resection of inferior vena cava, 364

5 Segmentectomy IV, 369

6 Segmentectomy IVa, 375

7 Segmentectomy IVb, 382

8 Bisegmentectomy IVb and V, 386

9 Segmentectomy VI, 392

10 Segmentectomy VII, 396

11 Segmentectomy VIII (transthoracic access), 400

Laparoscopic major liver resection 12 Left hepatectomy, 405

13 Right hepatectomy, 410

14 Left trisegmentectomy with caudate lobectomy, 416

15 Right trisegmentectomy, 422

16 Posterior sectionectomy, 427

17 Hilar lymphadenectomy (with right hepatectomy and caudate lobectomy for Klatskin tumor), 431

18 Mesohepatectomy, 438

Laparoscopic living donor liver transplantation

19 Living donor left lateral sectionectomy, 442

Section 2: Pancreas

Laparoscopic splenic resection

20 Total splenectomy, 447

21 Partial splenectomy, 449

Laparoscopic pancreas resection

22 Pancreatic enucleation, 451

23 Cystgastrostomy, 453

24 Distal pancreaticosplenectomy, 455

25 Spleen–preserving pancreatectomy of the body and tail, 457

26 Pancreaticoduodenectomy, 460

Afterword by Beat Müller–Stich, Adrian T. Billeter, and Markus W. Büchler, 465

Afterword by Pierre–Alain Clavien, 467

Index, 469

Brice Gayet, MD, PhD, Head, Medical and Surgical Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris, France.

Claudius Conrad, MD, PhD, Assistant Professor, MD Anderson Cancer Center, Department of Surgical Oncology, Houston, Texas, USA.