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  • 2002
  • 2013-10-14

Laparoscopic extended middle duodenal-preserving pancreatectomy: laparoscopic Beger procedure

Epublication WebSurg.com, Oct 2013;13(10). URL:
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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.