1319
LAPAROSCOPIC TOTAL PANCREATECTOMY AFTER LAPAROSCOPIC WHIPPLE FOR PANCREATIC DUCTAL ADENOCARCINOMA
Date
May 21, 2024
Explore related products in the following collection:
BACKGROUND
Improvements in systemic therapy may increase rate of 2nd novo PDAC after prior PDAC
PATIENTS
71 and 50 year-old-females with de novo PDAC in the body and tail of pancreas, 4 and 3 years after lap Whipple, respectively
TECHNIQUE
3-D pancreas and port site modeling was performed. Biliopancreatic limb (BPL) was early dissected and separated from the portal vein (PV) using initial blunt dissection which reduced risk of inadvertent thermal injury to PV. BPL was transected above the pancreatojejunostomy (PY). Pancreatectomy and Splenectomy was performed
CONCLUSIONS
Virtual pancreatectomy facilitates surgical planning
Early division of BPL facilitates assessment of PY and its relationship to PV
Improvements in systemic therapy may increase rate of 2nd novo PDAC after prior PDAC
PATIENTS
71 and 50 year-old-females with de novo PDAC in the body and tail of pancreas, 4 and 3 years after lap Whipple, respectively
TECHNIQUE
3-D pancreas and port site modeling was performed. Biliopancreatic limb (BPL) was early dissected and separated from the portal vein (PV) using initial blunt dissection which reduced risk of inadvertent thermal injury to PV. BPL was transected above the pancreatojejunostomy (PY). Pancreatectomy and Splenectomy was performed
CONCLUSIONS
Virtual pancreatectomy facilitates surgical planning
Early division of BPL facilitates assessment of PY and its relationship to PV
Tracks
Related Products
ROBOTIC TRANSGASTRIC PANCREATIC NECROSECTOMY: SINGLE STAGE PROCEDURE FOR WALLED-OFF PANCREATIC NECROSIS
45 yo M with walled off pancreatic necrosis who underwent robotic cystogastrostomy and transgastric pancratic necrosectomy. CT scan demonstrated necrosis confined to the lesser sac. A step-up approach was unsuccessful. Robotic debridement was offered…
A MULTICENTER INTERNATIONAL STUDY ON PATIENTS WITH T3 AND T4 CATEGORY OF GALLBLADDER CANCER: FINDING THE RIGHT BALANCE OF SURGICAL TREATMENT
BACKGROUND: Gallbladder Cancer (GBC) remains a challenging malignancy, with surgical resection as the sole curative option. However, optimal surgical treatment, as well as utilization of chemo- and radiotherapy for tumor category: T3 and T4, remains an area of continued debate…
RIGHT POSTERIOR BILE DUCT INJURY RECONSTRUCTION WITH ROBOTIC RY HEPATICOJEJUNOSTOMY
Right posterior bile duct injury with disconnected duct syndrome creates diagnostic challenges for many endoscopists and radiologists. The diagnosis and treatment are often delayed…
LAPAROSCOPIC CAUDATE RESECTION: HOW TO SAFELY MANAGE THE SPIEGEL/IVC INTERFACE WHEN THE HEPATOCAVAL SPACE IS OBLITERATED OR FUSED
MIS caudate lobectomy can be linked with important bleeding due to its abutment of major vessels…
