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Orlando Jorge M. Torres MD, PhD
Full Professor and Chairman
Department of Gastrointestinal Surgery
Hepatopancreatobiliary Unit
Federal University of Maranhão - Brazil
LAPAROSCOPIC LEFT LATERAL
SEGMENTECTOMY
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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Cai XJ, et al – Surg Endosc 2008;22:2350-6
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Cai XJ, et al. HepatoBiliary Surg Nutr 2018;7:98-104
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DIFFICULTY
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DIFFICULTY
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Example 1
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Example 2
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Carsell KA, et al. BMC Surgery 2009, 9:14-
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Cai XJ, et al. Surg Endosc 2016;30:2894-13
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XiuJun Cai – Hangzhou (China) – Junho/2017
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ANATOMIC ASPECTS
EXPERIMENTAL MODELS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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ANATOMIC ASPECTS EXPERIMENTAL MODELS
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ANATOMIC ASPECTS
EXPERIMENTAL MODELS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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ANATOMIC ASPECTS
EXPERIMENTAL MODELS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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ANATOMIC ASPECTS
LIVER SEGMENTS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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LAPAROSCOPIC SEGMENTS
ANATOMIC ASPECTS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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LAPAROSCOPIC SEGMENTS
ANATOMIC ASPECTS
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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LEFT HEPATIC VEIN
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Barretos – São Paulo Novembro 19-23, 2018
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LEFT HEPATIC VEIN
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Glissonian pedicle
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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LEFT LATERAL SEGMENTECTOMY
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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LEFT LATERAL SEGMENTECTOMY
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Nachado MA, et al. 2009
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GLISSONIAN PEDICLES
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INSTRUMENTS
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Barretos – São Paulo Novembro 19-23, 2018
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Barretos – São Paulo Novembro 19-23, 2018
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Barretos – São Paulo Novembro 19-23, 2018
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TECHNICAL ASPECTS
SEGMENT 3
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TECHNICAL ASPECTS
SEGMENT 2
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Barretos – São Paulo Novembro 19-23, 2018
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TECHNICAL ASPECTS
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Barretos – São Paulo Novembro 19-23, 2018
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Cai XJ, et al. Surg Endosc 2016;30:2894-13
PORTS
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Carsell KA, et al. BMC Surgery 2009, 9:14-
PORTS
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PORTS
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LEFT TRIANGULAR LIGAMENT
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Barretos – São Paulo Novembro 19-23, 2018
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PAREMCHYMA TRANSECTION
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Barretos – São Paulo Novembro 19-23, 2018
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ACCESS TO SEGMENT 3
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Barretos – São Paulo Novembro 19-23, 2018
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STAPLER
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FIRST STAPLER TO SEGMENT 3 (WHITE CARTRIDGE)
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PARTIAL TRANSECION OF THE LIVER
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Barretos – São Paulo Novembro 19-23, 2018
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SECOND STAPLER TO SEGMENT 2 (WHITE CARTRIDGE)
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Barretos – São Paulo Novembro 19-23, 2018
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LEFT HEPATIC VEIN
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LEFT HEPATIC VEIN
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Cai XJ, et al. Surg Endosc 2016;30:2894-13
LEFT HEPATIC VEIN
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FINAL ASPECT
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Universidade Federal do Maranhão Serviço de Cirurgia do Aparelho
Digestivo
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Lençóis Maranhenses
Thanks!
