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LAPAROSCOPIC TOTAL PANCREATECTOMY AFTER LAPAROSCOPIC WHIPPLE FOR PANCREATIC DUCTAL ADENOCARCINOMA

Date
May 21, 2024

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

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