Introducing Liver Surgery to the MID NORTH COAST NSW. Dr George Petrou FRACS 69Lake Rd, Port Macquarie NSW www.portlapsurgery.com.au Hepatobiliary Surgery, Laparoscopic Surgery, Obesity Surgery, Hernia surgery, Endosurgery. Indications for liver surgery. Colorectal metastases
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Dr George Petrou FRACS
69Lake Rd, Port Macquarie NSW
Hepatobiliary Surgery, Laparoscopic Surgery, Obesity Surgery, Hernia surgery, Endosurgery
Preoperative chemotherapy before liver surgery.
Improves survival & increases operability.
After Neoadjuvant chemotherapy this is now operable
A clear margin is necessary to prevent local recurrence in the liver
Rule: excise when minimal
Rule: safe if minor liver resection is planned (2 or less liver segments to be removed)
Rule: Doesn’t matter provided a clear margin and adequate remnant liver volume can be achieved.
Increases operability and safety with extended resection.
Small L Lateral
Right portal vein is saferadiologicallyembolised as a day procedure
The safetumour is now operable as surgery is now safe
Local Expertise safe
The liver safetumour is easily seen at operation with US
George Petrou FRACS
Prometheus stole the secret of fire and gave it to man