ROBOTIC PANCREATICODUODENECTOMY WITH MPD STONE EXTRACTION FOR CHRONIC PANCREATITIS
Moran Slavin, Sharona B. Ross, Iswanto Sucandy, Alexander Rosemurgy*
Digestive Health Institute Tampa, Tampa, FL
This video shows the application of the robotic approach for treatment of chronic pancreatitis in a 39-year-old. Scans showed calcifications in the pancreatic head and compression on the MPD.
After Kocherization of the duodenum severe fibrosis of the hepatoduodenal ligament was encountered. The gastrocolic omentum was divided and the pancreatic neck was transected. Dissection for control of the gastroduodenal artery was then completed. A cholecystectomy was performed and the specimen was removed. A stone was retrieved, followed by reconstruction with a choledochojejunostomy, a pancreaticojejunostomy, and a duodenojejunostomy. The patient tolerated the operation well and discharged on POD 4.
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