Glissonean Pedicles Approach in Minimally Invasive Liver Surgery

This kind of technique for hepatectomy has been gaining interest in recent years and may represent the ideal method to achieve anatomical liver resections.

Currently the most performed procedure for liver surgery is still the classic intrafascial approach in which, after entering the Glissonean sheath, the portal triad elements are singularly dissected and isolated. However, this is a quite challenging technique to pursue in a minimally invasive setting.

Nowadays the laparoscopic and robotic approach for liver resections are increasing worldwide and the intra or extra hepatic Glissonean approach, in which the portal triad elements are dissected and isolated “en bloc” without entering the Glissonean sheath, can facilitate the surgical technique. Furthermore this strategy allows better identification of the ischemic area and could decrease bloodloss during dissection, as the liver inflow is kept under control.

This book includes a step-by-step description of each pedicle isolation and section, with original laparoscopic and robotic pictures and videos. HPB surgeons who are interested in this technique may find these pages, written in cooperation with some of the most prominent worldwide experts, to be highly informative and valuable.

Dr Ielpo is currently working as senior surgeon at the HPB unit of the Hospital del Mar Hospital at Barcelona. From the beginning of his career he put in many long hours in both surgical and research activities, especially in minimally invasive procedures (including laparoscopy and robotics) and oncological surgeries. He is currently Associate Professor at Pompeu Fabra University of Barcelona and formal secretary of the Spanish Chapter of the American College of Surgeons (ACS) and certified by the European Board of Surgery in both hepatobiliopancreatic and oncological surgery. He is the president and founder of ACIE (Surgical Association of Italian Surgeons in Europe) and authors of more than 140 publications in indexed journals.

Edoardo Rosso is the Head of the Department of General, mini-invasive and Robotic Surgery of the Centre Hôspitalier de Luxembourg. Is a expert of HPB surgery particularly in the field of vascular resection and mini-invasive surgery. Fellow of the European Board of Surgery- Division HPB. Is has a large experience in educational promotion in the HPB field. Author and co-atuhor of more then 100 publications indexed  in Web of Science and many surgical videos.

Alessandro Anselmo is a senior consultant surgeon at Dept. of Surgery, HPB and Transplant Surgery Unit, Policlinico Tor Vergata, Rome, Italy.

Ph.D in “Surgical Physiopathology” and Ph.D in “Organ Transplantation”. Second Level Master in Transplantation. Fellow of the European Board of Surgery - Division of  Transplantation.

He is a liver and kidney transplant surgeon with extensive experience and passion in oncologic HPB surgery. He has strong interest in new technologies applied to minimally invasive liver and pancreatic surgery. Author of 119 publications indexed  in Web of Science and many surgical videos. Aggregate Professor of Surgery at Faculty of Medicine, Tor Vergata University of Rome. Organizer, Presenter, Moderator and Faculty in many international and national meetings and courses.