2022 AMI Online Salon

Laparoscopic segment 8 resection with use of intrathoracic transdiaphragmatic port

Project Detail

  • Entrant Name:  Paul Kelly
  • Client: Dr.s Ian McGilvray, Trevor Reichman, Gonzalo Sapisochin, and Chaya Shwaartz
  • Copyright: The Toronto Video Atlas of Surgery, 2022
  • Medium/software used: Maxon Cinema4D, Pixologic ZBrush, Adobe After Effects, DaVinci Resolve
  • Final presentation format: H.264 encoded video available through online website
  • Primary Audience: Hepato-pancreatico-biliary surgeons/surgical fellows

Project Description

This 3D animated video, intended for surgical trainees in the field of hepato-pancreatico-biliary (or HPB) surgery, introduces viewers to the surgical procedure for a laparoscopic segment 8 liver resection with use of intrathoracic transdiaphragmatic port for colorectal cancer.Due to the metastasis superior location in segment 8 of the right lobe liver, special considerations must be made for operative access and mobility. Laparoscopic ultrasound is used to determine resection margins intraoperatively. An intrathoracic trocar is introduced at intercostal level 6, and with the left lobe lung ventilated via a double-lumen endotracheal tube, the right lung is deflated. The laparoscopic balloon trocar is placed through the transdiaphragmatic port and inflated, and with superior lateral traction better visualization and access to the dome of the liver is achieved.The full version of this video, including operative footage, can be viewed at: http://tvasurg.caAll content on TVASurg is open-access – free to view for all. This allows our content to be accessed in anywhere in the world with internet access, including locations where these types of surgical procedures and expertise may be rare or newly established. All our videos include audio narration in English and text captions as well as text labels, providing accessibility to any vision- or hearing-impaired individuals who may seek this information.