Duodenopancreatectomy: potentialities of the laparoscopic approach in the mobilization, dissection, and resection stages of the procedure
Epublication WebSurg.com, Nov 2009;09(11). URL: http://websurg.com/doi/vd01en2791
This video demonstrates the laparoscopic approach of a cephalic duodenopancreatectomy in a 70-year-old patient presenting with an adenocarcinoma of the pancreatic head. Using 4 ports, the duodenum is completely detached. The unciform process is prepared posteriorly by dissecting the superior mesenteric artery and the portal vein in its right lower section. A total lymph node resection and an antrectomy have been performed, followed by the resection of the pancreatic body. Last but not least, the small bowel is divided and the duodenum is de-crossed. The dissection shows the different steps of the procedure with extra details.