Combined Laparoscopic liver and right colon resection
Laparoscopic Assisted Whipple
Laparoscopic Assisted Whipple
Laparoscopic Assisted Whipple
Cystgastrostomy for pancreatic pseudocyst
Laparoscopic Assisted Whipple
Distal pancreas resection
Segment 7 liver resection
Laparoscopic Assisted Whipple
Segment 7 liver resection
Segment 8 liver resection
Segment 7 liver resection
Segment 7 liver resection
Distal pancreas resection with Spleen preservation
Segment 6 Liver resection
Segment 4/5 Liver resection
Segment 6/7 resection
Left hepatic lobectomy
Segment 8 Liver resection
Left hepatic lobectomy
Segment 8 Liver resection
Segment 7 resection
Segment 6 Liver resection
Segment 6 Liver resection
Segment 6 Liver resection
Right hepatic lobectomy
Left hepatic lobectomy
Cystgastrostomy for pancreatic pseudocyst
Distal pancreas resection with Spleen preservation
Segment 8 Liver resection
Right hepatic lobectomy
Segment 6/7 resection
Segment 2/3 resection
Segment 6/7 resection
Right hepatic lobectomy
Caudate lobe resection
Laparoscopic assisted Whipple
Segment 7 liver resection
Right hepatic lobectomy
Segement 6/7 resection
Segment 6 Resection
Segment 7 liver resection
Segment 6 Liver resection
Segment 4 Liver resection
Right hepatic lobectomy
Distal pancreas resection
Distal pancreas resection with Spleen preservation
Right hepatic lobectomy
Segment 2/3 liver resection
Caudate lobe resection
Laparoscopic assisted Whipple
Choledochocyst resection and reconstruction
Segment 7 liver resection
Segment 6 Liver resection
Periportal tumor
Segment 7 liver resection
Right hepatic lobectomy
Segment 6 resection
Sling on liiver
Division of liver tissue, exposure of portal branch
Completed resection
division of ligament of Treitz, mobilization distal duodenum and proximal jejunum
Exposure gastroduodenal artery
Division neck of pancreas
Kocherization duodenum
Mobilization gastroduodenal artery
Divided neck of pancreas, exposure superior mesenteric & portal vein
Widely Kocherized duodenum with view of vena cava and aorta
4 inch incision
Patient with biliary pancreatitis, developed large pseudocyst, delayed presentation 3 months later.
Laparoscopic ultrasound guided cystgastrostomy
Completed closure of cysgastrostomy
Laparoscopic ultrasound guided cystgastrostomyCompleted closure of cysgastrostomy
Incision 2 months post-op
Mildly symptomatic 6-7 complex pancreas tail mass, biopsied showing fibrosis, followed for a year, increased in size on follow-up imaging
Primary liver cancer and compensated cirrhosis
A. Mobilize duodenum B. Tumor invading duodenum C. Separating duodenum from vena cava D. Divide Ligament of Trite E. Gastroduodenal Artery F. Dividing stomach
A
B
C
D
E
F
A
BCDEF
Primary liver cancer and compensated cirrhosis
Primary liver cancer and compensated cirrhosis
Metastatic colon cancer to liver post chemo
Metastatic colon cancer liver post chemo
mucinous cystic neoplasm of the pancreas, pain and weight loss
Liver cancer compensated MASH cirrhosis
Gallbladder Ca resection and local lymph node dissection
9 cm symptomatic hemangioma
Symptomatic echinoccocal cyst left lobe of liver
Post HCV compensated cirrhosis with primary liver cancer
Peripheral cholangiocarcinoma: Top: sling around fissure of ligmentum teres and venosum applying gentle traction along Cantile's line, Middle: ultrasonic aspiration transection, Bottom: completed left lobectomy with regional node dissection
Metastatic GIST to liver
Metastatic colon cancer
Primary liver cancer and compensated cirrhosis
Symptomatic 8 cm hemangioma
Metastatic colon cancer
Metastatic colon cancer to right lobe liver (left division short hepatic vein, right post resection)
Peripheral cholangiocarcinoma
No window available for EUS Axios stent
Mucinous cystic neoplasm of the pancreas
Primary liver cancer and compensated cirrhosis
Metastatic colon cancer to liver
Paraganglioma in the liver: Top: lifting liver off venacava, Middle: ultrasonic aspiration of resection line, Bottom: completed resection
Primary liver cancer and compensated HCV cirrhosis: Top: sling in fissure, Middle: staple resection within fissure, Bottom: completed resection
Metastatic colon cancer post chemotherapy
Metastatic colon cancer (liver separated from vena cava)
Hepatic adenoma increasing in size
Neuroendocrine tumor head of pancreas
Primary liver cancer and compensated cirrhosis
Metastatic colon cancer
Primary liver cancer well compensated HCV cirrhosis
Primary liver cancer and compensated cirrhosis
Primary liver cancer and hepatitis B surface antigen positive
Primary liver cancer and compensated cirrhosis
Metastatic colon cancer
Metastatic colon cancer
Mutinous cystic neoplasm increasing in size with high CEA
Metastatic colon cancer to liver (umbilical tape between right and middle hepatic vein)
Metastatic colon cancer
Primary liver cancer HCV infection
Primary liver cancer and compensated HCV cirrhosis
Metastatic colon cancer
Ovarian cancer metastasis posterior to portal vein post chemotherapy
Hepatic adenoma increasing in size
Metastatic colon cancer
Hepatic Adenoma