Toru Goto, MD
@ToruGotoMD
Academic surgeon🇯🇵🇨🇦, Abdominal transplant / HPB surgery, Ex vivo machine perfusion, Surgical illustrator, Enthusiastic for education, opinions are my own
Preoperative sketches that I have always drawn before living liver transplant donor, no matter how busy I am, all of them are converted from axial / coronal images to surgical view 15 min Image reading →10 min Drafting →30 min Painting in production →5 min Information writing
Pancreas procurement is the most difficult one. Need to know the graft first!
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.
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.
Abdominal inversus case How do you transplant DBD whole liver?
So lucky to learn from my brilliant senior fellow, @ToruGotoMD ! An amazing surgeon and educator.
Replaced CHA or RHA from SMA makes deceased donor operation complicated. Our strategy and safe operation for total replaced CHA from SMA. The bifurcation was 4cm from Ao and retrograde dissection from hilum towards SMA was done. Warm dissection time took only 1.5hr as usual.
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!
Excellent presentation for simulation by Dr. Shwaartz @shwaartz
#liver #HPB #surgery #anatomy #preoperative #transplant @AST_info @IHPBA @JSHBPS
I would like to do LT and HPB OR illustration education workshop in future. Happy to collaborate with anyone! Please contact me!
I would like to do LT and HPB OR illustration education workshop in future. Happy to collaborate with anyone! Please contact me!
Legend surgeons at ILTS machine perfusion workshop #ILTS #MP #liver
A surgeon’s imagination sets the limit of what technique can achieve.
Replay ⏯️ ➡️ recall! Here’s 1 🔥🔥@ClevelandClinic R lobe #LDLT recon + sew-in with 🤩 @APitaMD & @masato_fujiki 🤩! 2 RHV +V5-8. 2 bile ducts. No problem 🕺🏼. (First drawing in poor imitation of @ToruGotoMD style) @ASTSChimera #surgtwitter
The OR headgear 👑🧢 collection is growing! Some days the case is so cool🤩, ya wanna watch it again! 📸#GoPro 12 in action 🤸🏽, capturing some #LivingDonor liver transplant backtable action 📽️on 1 of 8 #LDLT at @ClevelandClinic transplant this year to date!
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!!
The OR headgear 👑🧢 collection is growing! Some days the case is so cool🤩, ya wanna watch it again! 📸#GoPro 12 in action 🤸🏽, capturing some #LivingDonor liver transplant backtable action 📽️on 1 of 8 #LDLT at @ClevelandClinic transplant this year to date!