20 Keysteps
- Case report
- CT-scan
- Positioning of the trocars
- Cavity inspection
- Opening of the gastrocolic ligament
- Identification of the accessory pancreas in the pancreatic head
- Individualization of the right gastroepiploic artery
- Accessory pancreas division for stapling
- Right gastroepiploic artery division
- Individualization of the gastric duplication cyst
- Gastric duplication cyst ‘en bloc’ division
- Storage bag
- Manual suture of the greater curvature
- Greater omentum fixation with suture reinforcement
- Final view
- Surgical specimen
- Photograph of the surgical specimen
- Photograph of the abdomen
- Photograph of the cyst
- Photograph of the histological slide
Pancreatic duplication associated with a gastric duplication cyst: laparoscopic approach
Epublication WebSurg.com, Jan 2019;19(01). URL: http://websurg.com/doi/vd01en5436
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This video shows the case of a 48-year-old male patient with a history of epigastric pain for 20 days, with the presence of nausea and vomiting but no self-reported fever. The patient was presented at the ER for examination. Computerized tomography (CT) scanning revealed a very rare case of pancreatic duplication associated with a gastric duplication cyst. He was referred to our service and then treated by laparoscopic route with partial gastrectomy and pancreatic resection (pancreas horn). On the 2nd postoperative day, the patient was discharged and allowed for free oral feeding. This is the second study in the literature reporting a case of laparoscopic resection of a gastric duplication cyst together with pancreatic resection. Of note, this is the first study in which the accessory pancreas communicates with the pancreatic head.
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