UPDATED TOPICS IN MINIMALLY INVASIVE ABDOMINAL SURGERY

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Updated Topics in Minimally Invasive Abdominal Surgery
received Royal Assent in November 2004 and the act sets out standards and provides
guidance to clinicians carrying out education and training in using human cadaveric
materials.
Fig. 9. Laparoscopic cadaver training lab
A course has been designed by a faculty of experienced, advanced laparoscopic surgeons
providing an intensive 2 day course of lectures, debate, exchange and practical hands on
with a live link to clinical laparoscopic liver resection operations. All participants are given
an opportunity to perform 8 key tasks in order to develop their laparoscopic liver surgery
skills. These include the following;
1. Port Positioning for left lateral liver resection
2. Tape placement around the hepatoduodenal ligament for a safe Pringle’s manoeuvre
3. Dissection of hilar structures, portal vein, hepatic artery, and confluence of the hepatic
ducts and common bile duct.
4. Left lateral liver mobilisation.
5. Left lateral sectionectomy with an ultrasonic aspirator and stapling of the left hepatic
vein.
6. Right lobe mobilisation
7. Right hepatectomy with dissection of RHA, RPV, RHD and IVC dissection with
stapling of the RHV.
8. Use of hand ports for facilitating right hepatectomy.
Although safety, efficacy and reproducibility of LLS has been established, the same cannot
be said of the training and accreditation of junior surgeons. The specialist surgical societies
both at National and International levels are yet to establish guidelines for training and
mentoring.