monthly focus

surgical intervention video

腹腔镜远端胰腺切除术与脾切除术


Pancréatectomie distale laparoscopique avec splénectomie


In this video, a laparoscopic distal pancreatectomy with a splenectomy is demonstrated. The colon is mobilized from the omentum and the splenic flexure is lowered completely. The dissection is completed towards the right side in order to access the pancreatic isthmus. The dissection is initiated at the level of the inferior pancreatic port in order to identify the mesentericoportal axis. The retropancreatic dissection is performed. The splenic vein and the splenic artery are dissected and taped. A tape is placed around the pancreas in order to facilitate the dissection thanks to the traction exerted. The pancreas is divided by means of a stapler, tan cartridge. The splenic vessels were divided through Hem-o-lok™ Polymer Locking Ligation Systems. The dissection is performed from the right to the left side of the retropancreatic region. The greater omentum is dissected in close contact with the greater curvature of the stomach. The short gastric vessels are progressively divided. The division of the posterior mesogastrium allows to completely free the specimen, which is then placed in a bag. The specimen is removed through a suprapubic Pfannenstiel’s incision. 

Laparoscopic distal pancreatectomy with splenectomy

Pancreatectomia distal laparoscópica com esplenectomia


Pancreatectomía distal laparoscópica con esplenectomía


Лапароскопическая дистальная субтотальная резекция поджелудочной железы со спленэктомией


腹腔镜远端胰腺切除术：标准顺时针技术


Pancreatectomía distal laparoscópica: técnica estándar en sentido horario


Pancréatectomie distale laparoscopique: technique standard dans le sens horaire


Лапароскопическая дистальная субтотальная резекция поджелудочной железы: стандартная техника операции "по часовой стрелке".


In this live recorded surgical video, Dr. HJ Asbun (Mayo Clinic Florida, Jacksonville, FL, USA) demonstrates the main principles of laparoscopic distal pancreatectomy (DP) with a standard clockwise technique. He provides a brief description of anatomical landmarks, port placement, and patient positioning. He defines the main points along with the technical aspects and summarizes the procedure with corresponding key steps. 

Laparoscopic distal pancreatectomy: standard clockwise technique

Pancreatectomia distal laparoscópica: técnica padrão em sentido horário


video lecture

Дистальная панкреатэктомия с сохранением селезёнки и селезёночных сосудов по поводу бифокального PNET 


In this key lecture, Dr. Conrad outlines key steps related to spleen and splenic vessel preserving distal pancreatectomy, laparoscopic insulinoma enucleation of the posterior pancreatic neck, and laparoscopic partial splenectomy. He stresses the technical aspects of intraoperative ultrasonography, celiac trunk dissection, and gives some recommendations with regards to leak reduction, vascular dissection, and energy device use. He provides tips and tricks for insulinoma dissection and emphasizes key concepts and technical points for main pancreatic duct preservation, hilum dissection, and spleen transection. 

Spleen and splenic vessel preserving distal pancreatectomy for bifocal PNET in a young patient with MEN1

Pancréatectomie distale préservant la rate et les vaisseaux spléniques pour PNET bifocal chez un jeune patient atteint de MEN1


Nesta palestra magistral, o Dr. Conrad destaca os passos-chave relacionados à pancreatectomia distal com preservação do baço e dos vasos esplênicos, enucleação laparoscópica do insulinoma do colo pancreático posterior e esplenectomia parcial laparoscópica. Ele enfatiza os aspectos técnicos da ultrassonografia intraoperatória, da dissecção do tronco celíaco e dá algumas recomendações com respeito à redução dos extravasamentos, à dissecção vascular e ao uso dos dispositivos de energia. Apresenta dicas e truques para a dissecção do insulinoma e ressalta os conceitos-chave e os pontos técnicos para a preservação do ducto pancreático principal, dissecção do hilo e transecção do baço.


Pancreatectomia distal com preservação do baço e dos vasos esplênicos para tumor neuroendócrino primitivo (PNET) bifocal em um paciente jovem portador de neoplasia endócrina múltipla tipo 1 (MEN1)

В центре внимания - лапароскопическая дистальная резекция поджелудочной железы


Focus sur la chirurgie pancréatique distale laparoscopique


Focus on Laparoscopic Distal Pancreatic Surgery