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Laparoscopic Radical Left Pancreatectomy for Pancreatic Cancer: Surgical Strategy and Technique Video
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Médecine
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Journal JoVE Médecine
Laparoscopic Radical Left Pancreatectomy for Pancreatic Cancer: Surgical Strategy and Technique Video

Laparoscopic Radical Left Pancreatectomy for Pancreatic Cancer: Surgical Strategy and Technique Video

DOI:
10.3791/60332-v

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10:04 min

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June 06, 2020

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, , , , , ,
1Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC,University of Amsterdam, 2Department of Surgery,Southampton University Hospital NHS Foundation Trust, 3General and Pancreatic Surgery Department, Pancreas Institute,University and Hospital Trust of Verona

Chapitres

  • 00:00Introduction
  • 01:40Exposure
  • 03:20Pancreatic Hanging and Gerota’s Fascia Dissection
  • 05:19Pancreatic Transection
  • 06:28Lymph Node Dissection
  • 08:08Extraction and Drain Placement
  • 09:12Résultats
  • 09:40Conclusion

Summary

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Oncologically safe left pancreatectomy requires radical resection (R0), Gerota’s (perirenal) fascia resection, and adequate lymph node dissection. This study describes the technical details of laparoscopic radical left pancreatectomy (LRLP), used in the first international multicenter randomized trial comparing minimally invasive with open left pancreatectomy for pancreatic cancer, the DIPLOMA trial.

Tags

Laparoscopic Radical Left PancreatectomyPancreatic CancerSurgical StrategySurgical TechniqueMinimally Invasive ApproachPneumoperitoneumDiagnostic LaparoscopyExposure PhaseGastrocolic LigamentShort Gastric VesselsStomach DetachmentSplenic VeinGerota’s FasciaSplenic ArteryPancreatic HangingLymph Node DissectionRadical Resection MarginsOncological Dissection

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