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Laparoscopic Central Pancreatectomy Under Clampage of the Portomesenteric Vein and Resection of Splenic Vessels for Large Solid and Cystic Pseudopapillary Tumor by Safi Dokmak; Béatrice Aussilhou; Marco Paci; Olivier Soubrane; Alain Sauvanet is a Medicine article available to read on EtoBox.

What is Laparoscopic Central Pancreatectomy Under Clampage of the Portomesenteric Vein and Resection of Splenic Vessels for Large Solid and Cystic Pseudopapillary Tumor about?

This is a case of a 42 y/o who presented with recurrent left flank pain. Work-ups revealed a mass at the pancreatic body, cystic mucinous epithelial neoplasm by FNAB, and an ovoid lesion attached to the left adrenal gland, to consider metastasis. Objectives of this video are: to present a case of simultaneous laparoscopic transabdominal adrenalectomy and spleen-preserving subtotal pancreatectomy using same-port placement; and to present the use of fluorescence imaging using ICG in vascular angiography, identification and preservation of splenic vessels. Patient was placed in right lateral decubitus position, right arm hyperxtended & left arm on an arm rest, left side elevated at 60 degrees. 4-port placement was used. Laparoscopic transabdominal left adrenalectomy was first performed. Utilizing the same port placement, patient's position turned slightly to 45 degrees, proceeded with spleen-preserving subtotal pancreatectomy. Identification and preservation of splenic vessels were done using ICG fluorescence. Laparoscopic ultrasonography was done for tumor localization and checking of vascular relations. The surgical procedure was performed with no note of complications. Histopatholo

Who reads Laparoscopic Central Pancreatectomy Under Clampage of the Portomesenteric Vein and Resection of Splenic Vessels for Large Solid and Cystic Pseudopapillary Tumor?

Author

Safi Dokmak; Béatrice Aussilhou; Marco Paci; Olivier Soubrane; Alain Sauvanet

Publisher

John Wiley and Sons; Elsevier ; Elsevier Limited; Elsevier BV; Wiley (ISSN 1365-182X)

Published

2019

Language

EN

Field

Medicine (Health Sciences)