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L'abord laparoscopique classique de la region hiatale consiste a relever le lobe hepatique gauche. Cet abord est parfois rendu difficile chez les patients obeses par l'hypertrophie du foie. La technique decrite ici consiste a contourner cette difficulte en abordant la region hiatale par voie supra-hepatique apres avoir libere le lobe gauche en sectionnant le ligament triangulaire. Cela permet une...
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