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Hand-assisted laparoscopic total pancreatectomy for a main duct intraductal papillary mucinous neoplasm of the pancreas.


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Title: Hand-assisted laparoscopic total pancreatectomy for a main duct intraductal papillary mucinous neoplasm of the pancreas.
Authors: Kitasato, Amane / Tajima, Yoshitsugu / Kuroki, Tamotsu / Adachi, Tomohiko / Kanematsu, Takashi
Issue Date: Feb-2011
Publisher: 日本外科学会
Citation: Surgery Today, 41(2), pp.306-310; 2011
Abstract: The laparoscopic approach to pancreatectomy entails a number of restrictions in performing major pancreatic surgery. This report describes a hand-assisted laparoscopic total pancreatectomy performed for a main duct intraductal papillary mucinous neoplasm of the pancreas. Dissection of the gastroduodenal artery and splenic artery, and the transection of the duodenum were done through the midline mini-laparotomy, while mobilization of the spleen and the pancreatic tail and body, and Kocher's maneuver were performed using the hand-assisted laparoscopic approach. Furthermore, dissection of lymph nodes in the hepatoduodenal ligament, removal of the gallbladder, division of the hepatic duct, tunneling of the pancreas, and dissection of the pancreas from the superior mesenteric vein and superior mesenteric artery were possible to perform safely under a pure laparoscopic technique with an excellent laparoscopic view. The reconstruction procedures were performed through the mini-laparotomy. The hand-assisted laparoscopic total pancreatectomy should be considered for the treatment of selected patients because it has various advantages as one type of minimally invasive surgery.
Keywords: Hand-assisted laparoscopic surgery / Intraductal papillary mucinous neoplasm / Total pancreatectomy
URI: http://hdl.handle.net/10069/25099
ISSN: 09411291
DOI: 10.1007/s00595-010-4248-6
PubMed ID: 21264776
Rights: © 2011 Springer. / The original publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/25099

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