Laparoscopic extended middle duodenal-preserving pancreatectomy: laparoscopic Beger procedure
Epublication WebSurg.com, Oct 2013;13(10). URL: http://websurg.com/doi/vd01en4032
This is the case of a 45-year-old woman (BMI of 19) who underwent a totally laparoscopic middle pancreatectomy for pancreatic incidentaloma. Preoperative work-up included abdominal ultrasound examination, CT-scan, MRI, and OctreoScan which demonstrated a hyperdense lesion in the pancreatic neck. Endoscopic ultrasound (EUS) allowed to perform a fine-needle aspiration biopsy (FNAB) of the lesion. Histopathological evaluation of the specimen showed a moderately differentiated Non-functioning Pancreatic Neuroendocrine Neoplasms (NF-PanNENs). Laparoscopic US indicated the necessity to perform pancreatic resection. During the intervention, a Roux-en-Y jejunal loop has been interposed using the Longmire-Mouchet reconstruction method.