Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (04): 369-369. doi: 10.3877/cma.j.issn.1674-3946.2022.04.006

Special Issue:

• Operation Theater • Previous Articles     Next Articles

Laparoscopic pancreaticoduodenectomy

Dongbing Zhao1,()   

  1. 1. Department of Pancreatic and Gastric Surgery,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China
  • Online:2022-07-14 Published:2022-07-13
  • Contact: Dongbing Zhao

Abstract:

The liver was suspended after careful laparoscopic exploration. The procedure began with adequate mobilization of hepatic flexure of the colon after opening the lateral peritoneum. Then,the Kocher maneuver was performed to expose the junction of the left renal vein,the inferior vena cava,and the superior mesenteric aorta. Next,the gastrocolic ligament was opened and the lymph nodes next to the common hepatic artery were cleaned. Afterwards,the middle colon vessels,Henle trunk,and superior mesenteric vein were detected. A tunnel along the superior mesenteric vein was created. Finally,the jejunum was cut about 10 cm from the ligament of the flex. The gastric body was severed near the confluence of the left and right gastroepiploic veins. The pancreas was divided with ultrasonic device,and the pancreatic duct was cut with scissors. The gastroduodenal artery(GDA)was mobilized,doubly ligated,and divided. Regional lymph node dissection included the hepatoduodenal ligament and the porta hepatis. The gallbladder was removed and the bile duct was carefully dissected and divided. After this procedure,the specimen was removed and digestive tract reconstruction was performed. The continuous running suture technique was used to perform the pancreatic‐intestinal anastomosis and biliary-enteric anastomosis.

Key words: Pancreatic neoplasms, Pancreaticoduodenectomy, Laparoscopes

京ICP 备07035254号-3
Copyright © Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), All Rights Reserved.
Tel: 66721881; 64049986 E-mail: zhpwkssx@126.com
Powered by Beijing Magtech Co. Ltd