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So lucky to learn from my brilliant senior fellow, Toru Goto, MD ! An amazing surgeon and educator.

Multivisceral transplant is tricky. Donor OR doesn’t need porta dissection but needs accurate dissection from retroperitoneum. Knowledge from HPB, Colorectal, trauma surgery is needed. The Treiz / Toldt fusion fascia is one of the most important points to handle operation.

Some illustrations from my past year: preoperative sketches played a vital role in enhancing patient care, while postoperative and educational illustrations are set to benefit future patients.

Japanese legend thoracic surgeon, Dr. Abe showed excellent postoperative illustration for all cases!! Respect!!

Replay ⏯️ ➡️ recall! Here’s 1 🔥🔥Cleveland Clinic R lobe #LDLT recon + sew-in with 🤩 Alejandro Pita & Masato Fujiki MD 🤩! 2 RHV +V5-8. 2 bile ducts. No problem 🕺🏼. (First drawing in poor imitation of Toru Goto, MD style) ASTS #surgtwitter

My Specialité in venous reconstruction

A surgeon’s imagination sets the limit of what technique can achieve.

Legend surgeons at ILTS machine perfusion workshop #ILTS #MP #liver

I would like to do LT and HPB OR illustration education workshop in future. Happy to collaborate with anyone! Please contact me!

#liver #HPB #surgery #anatomy #preoperative #transplant American Society of Transplantation (AST) IHPBA Japanese Society of HBP Surgery

Excellent presentation for simulation by Dr. Shwaartz Chaya Shwaartz, MD

Reality

For Japanese resident, the postoperative illustration is mandatory, and the certificate of HPB operation also needs precise illustration. Below is my resident in Toronto. The output is not a talent, and anyone can draw with some practice. Visualization is clear method to share!

Abdominal inversus case How do you transplant DBD whole liver?

Great Japanese HPB congress at Karuizawa!

Liver- back table technique at TGH

The bile duct is supplied solely by the hepatic arterial system, and excessive dissection during arterial anastomosis may compromise perfusion, leading to bile ischemia and subsequent stricture formation.

Pancreas procurement is the most difficult one. Need to know the graft first!

🎥 Here’s a short clip of the robotic portal vein resection and reconstruction performed during this Klatskin case — applying transplant and oncologic principles in a minimally invasive setting. This step was key to achieving an R0 resection. Visualization, exposure, and

Fantastic and beautiful!!