RESULT OF PEDIATRIC LAPAROSCOPIC LIVER RESECTION A REPORT OF 15 CASES

Good morning, uh, dear chairman and a colleague. Uh, my report is a result of pediatric laparoscopic liver resection. This is a 12 years case theory report. And at the beginning, we, we are now. The IRIP in adults is increasing rapidly in recent years, there are 3 councils in the national councils which has proved provide the feasibility, safety, and oncology result after laparoscopy, uh, liver resection. But in pediatric field, only a case report. Here's uh is our uh preoperative evolution. Which mainly focused on the extent of the tumor. After ultrasonography, we use the CT scan with a 3D reconstruction. I We, we use supine position and the certain stamp between the leg. Here's a short video uh about Our, our technique. We use the conventional technique, uh, at the beginning period. After 10 cases, we began to move to the cordial approach. Which mainly for the tumor larger than 16 centimeter diameter. Here you can show. We dissect. Between the mass and the IVC. Which will be Finally show. Now we use uh just we use uh a micro microwave knife. Here is the biopolis. Camp And the last, we use the end stabler for the red hepatic bone. Mislo Yeah So that's it. So, it's another example for the, the small baby, only 45 days. Uh, another 5 month car. Here is the detail uh demographic of the patient. I just uh for a short summarize, in this series, we, we have 15 patients with the hypertlastoma with 15, uh. Nearly half patients have a half a hepatotomy. You can, you can see we have 3 bell duct leakage. He's uh less bleeding because we believe the artery and pottery, uh, inflow and higher abdominal pressure contribute a lot. Here's the advantage for the laparoscopy tumor resection. And uh for the conclusion. Just at, at this stage, PDHLLR is safe and feasible for the selective cases and long term need. Long term effect need to be observed. Thank you.