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LAPAROSCOPIC TOTAL PANCREATECTOMY AFTER LAPAROSCOPIC WHIPPLE FOR PANCREATIC DUCTAL ADENOCARCINOMA
Date
May 21, 2024
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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
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