Laparoscopic Pancreatic Head Resection With Hybrid Reconstruction via Pancreatogastrostomy
Tobias Keck*, Simon KüSters, Ulrich F. Wellner, Frank Makowiec, Ulrich T. Hopt, Wojciech K. Karcz
Department for General and Visceral Surgery, University of Freiburg, Freiburg, Germany
Since 2010 we performed 11 laparoscopic pylorus preserving pancreatic head resections. The operation is performed as hybrid operation with complete laparoscopic resection and reconstruction via a small retrieval incision of 5-7 cm. The video demonstrates the surgical technique and possible pitfalls. The complication rate was not increased in comparison to open surgery. The average operation time was not significantly increased in comparison to open (528 vs 540 min). We demonstrate that pancreatic head resections can be safely performed via laparoscopy. The combination with an open reconstruction allows a standardized reconstruction with no concessions to safety and operation time.
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