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LAPAROSCOPIC TOTAL PANCREATECTOMY AFTER LAPAROSCOPIC WHIPPLE FOR PANCREATIC DUCTAL ADENOCARCINOMA
Oscar A. Salirrosas Roncal
*, Eduardo A. Vega, Hamed Harandi, Ariana M. Chirban, Claudius Conrad
General Surgery and Surgical Oncology, Saint Elizabeth's Medical Center, Brighton, MA
BACKGROUNDImprovements in systemic therapy may increase rate of 2
nd novo PDAC after prior PDAC
PATIENTS71 and 50 year-old-females with de novo PDAC in the body and tail of pancreas, 4 and 3 years after lap Whipple, respectively
TECHNIQUE3-D pancreas and port site modeling was performed. Biliopancreatic limb (BPL) was early dissected and separated from the portal vein (PV) using initial blunt dissection which reduced risk of inadvertent thermal injury to PV. BPL was transected above the pancreatojejunostomy (PY). Pancreatectomy and Splenectomy was performed
CONCLUSIONSVirtual pancreatectomy facilitates surgical planning
Early division of BPL facilitates assessment of PY and its relationship to PV
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