Video and photo gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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Video gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery

Photo gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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Photo gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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Laparoscopic hilar dissection
hilum

Short hepatic vein exposure
short hepatic2

Laparoscopically dividing short hepatic vein
short hepatic clip

Laparoscopic isolation of right hepatic vein
right vein

Argon beam hemostasis
argon

Vena cava following right lobectomy. Clips on short hepatic branches and fan retractor on left lobe
vena cava

Suspension of right lobe of liver for transection
Lap Right lobe 2

Post transection
Lap Right lobe 2 post
Division of left pedicle
left pedicle
Caudate lobe mass
Pasted Graphic 4

Portal vein branch divided between double clips, several short hepatic branches divided between double clips, and caudate separated from vena cava
Pasted Graphic 5

Division of liver tissue
Pasted Graphic 6

After caudate remove: portal vein branch clipped, vena cava with several short hepatic branches double clipped
Pasted Graphic 7
Laparoscopic segment 6 resection

Before surgery
seg 6 hemangioma

After laparoscopic resection
seg 6 hemangioma 2

Argon beam hemostasis
seg 6 hemangioma 3

Laparoscopic posterior segmentectomy
posterior segmentectomy

Cirrhotic liver with segment 6 hepatoma
seg 6 hepatoma1

Laparoscopic resected segment 6
segment 6 hepatoma 2

Laparoscopic segment 4 resection
seg 4

Laparoscopic segment 7 resection

Pre
Lap Seg 7 pre

Post
Lap segment 7 post

During
cirrhotic seg 7 2

Post
cirrhotic seg 7 2 post
Division of liver
Pasted Graphic 1

Division of vessels
Pasted Graphic 2

Divided specimen
Pasted Graphic 3
Resection and recnostruction of choledochocyst

Exposure of common hepatic duct
Choledochocyst pre1

Circumferential control of neck
Choledochocyst pre 2

Mobilization of cyst
Choledochocyst pre 3

Post cyst resection
Choledochocyst pre 4

Post hepaticojejunostomy/roux-en-y limb
Choledochocyst post
Laparoscopic resection of metastatic ovarian tumor posterior to portal vein

portal vein 1portal vein 2
Umbilical tape around hepatoduodenal ligament, through rummel, and bulldog clamp to apply inflow control
Pasted Graphic 8

liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery

Photo gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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Laparoscopic assisted Whipple procedure is not for all patients. It is generally best used for small tumors that do not involve vessels.

Tunnel posterior to neck of pancreas. I often use hand assist. It speeds up the case and only requires a 7 cm Gel Port.
post canal

Divided neck of pancreas, distal common bile duct
divided neck

SMV-portal vein confluence following removal of head of pancreas
SMV portal

Double clip on gastroduodenal artery. Superior mesenteric-porta-splenicl vein confluence
PV SMV GDA

Mobilizing neck of pancreas by passing umbilical tape in portal tunnel
umbo tunnel

Divided neck of pancreas, clip on GDA
Divided neck2

Portal vein resection, reanastamosis with re-implantation of splenic vein
PV reconstruction
Divided body of pancreas (cystic mass on right hand side)
distal panc 1

Laparoscopic distal pancreatectomy with spleen preservation
distal panc anatomy

Laparoscopic distal pancreatectomy with spleen preservation looking at artery, vein and spleen
lap distal panc 2

Laparoscopic mobilized stomach to visualize distal pancreas mass
dist panc mass

Laparoscopic mobiliztion distal pancreas off of artery and vein
dist panc mass

Laparoscopic distal pancreatectomy with spleen preservation looking at artery, vein and spleen
lap dist panc 3

liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery

liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery

Video gallery of laparoscopic Hepato-Pancreato-Biliary procedures

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liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery

liver cancer treatment in new jersey, liver cancer surgery in new jersey, pancreas cancer surgery in new jersey, bile duct cancer surgery in new jersey, hepatobiliary surgery in new jersey, pancreatitis surgery in new jersey, portal hypertension care in new jersey, mesocaval shunt in new jersey, laparoscopic liver surgery, laparoscopic pancreas surgery, laparoscopic hepatobiliary surgery


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Dr de la Torre is no longer with
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