Total laparoscopic pylorus-preserving pancreatoduodenectomy for periampullary tumor
Epublication WebSurg.com, Jan 2012;12(01). URL: http://websurg.com/doi/vd01en3548
The authors show an edited video of a total laparoscopic modified Whipple procedure for an ampullary adenocarcinoma. The patient was obese wth a BMI of 35.6 kg/m2. Surgery was performed at the Hospital Federal de Ipanema in Rio de Janeiro, Brazil. Hand-sewn pancreatico-jejunostomy, choledocho-jejunostomy and duodeno-jenunostomy in a single-loop were performed. Total operative time was 450 minutes with an estimated blood loss of 200mL. The surgical specimen was taken out by a small incision at the left flank, through which a jejunostomy was performed.