Laparoscopic Pancreatic Surgery
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Laparoscopic Pancreatic Surgery
- 1. LAPAROSCOPIC PANCREATIC SURGERY GEORGE S. FERZLI, MD FACS ALPHONSE M. PECORARO, MD FACS SCOTT D. STEINBERG, MD
- 7. Tumor Staging With Laparoscopy and Laparoscopic Ultrasonography
- 8. “ In cases of ordinary exploratory operation for carcinoma, before having recourse to the usual large incision, the cystoscope is introduced through a very small and relatively unimportant incision, possibly made with cocaine, may reveal general metastases or a secondary nodule in the liver, thus rendering further procedures unnecessary and saving the patient a rather prolonged convalescence. BERTRAM BERNHEIM, THE JOHNS HOPKINS UNIVERSITY Bernheim B: Organoscopy: Cystoscopy of the abdominal cavity. Ann Surg 53:764-767,1911
- 21. Minnard, E. Conlon, K et al, Ann Surg, 1998, 228(2) RESULTS ___ ___ 13 (14%) 8 (9%) EQUIVOCAL 50 (56%) 49 (54%) 41 (46%) 17 (19%) UNRESECTABLE ACTUAL LAP SONO LAP CT
- 27. Palliative Laparoscopic Surgery for Unresectable Pancreatic Cancer
- 29. RESULTS p<0.06 p<0.05 p<0.05 Rothlin,M et al;Surg Endosc (1999) 13:1065-1069 9 days 21 days HOSPITAL STAY 0% 29% MORTALITY 7% 43% MORBIDITY LAP (n=14) OPEN (n=14)
- 32. Ultrasound Guided Laparoscopic Resection Of Pancreatic Islet Cell Tumors SPITZ, et al Surg Lap Endo and Perc Tech: Vol10, No3, 2000 Laparoscopic Resection Of Islet Cell Tumors GAGNER, et al Surgery Vol 120, 1996 Laparoscopic Resection Of Pancreatic Serous Cystadenoma SANCHEZ Surg Lap and Endo Vol 4, No 4, 1994 DESCRIPTION STUDY
- 34. LAPAROSCOPIC INTERNAL DRAINAGE Cystojejunostomy L. paracolic handsewn Palanivelu Cystojejunostomy Infracolic Cushieri Cystogastrostomy Supracolic Way Cystogastrostomy Stapled Intraluminal Litwin & Ross Cystogastrostomy Transgastric Handsewn Petelin
- 38. Ferzli,G et al; Surg Endosc July2001
- 39. Ferzli,G et al; Surg Endosc July2001
- 40. Ferzli,G et al; Surg Endosc July2001
- 41. Ferzli,G et al; Surg Endosc July2001
- 42. Ferzli,G et al; Surg Endosc July2001
- 43. Ferzli,G et al; Surg Endosc July2001
Notas del editor
- IN 1911, Bernheim at The Johns Hopkins University performed the first
- The lesser sac was entered by opening the gastrocolic ligament exposing the posterior wall of the stomach and pancreas.
- At tear was noted in the pancreas between the body and the tail. There was also an significant hematoma overlying the pancreas
- A window behind the pancreas lateral to the inferior mesenteric vein was made to the position of an endo GI stapler. The distal pancreas was retreived from the abdomen using a specimen bag.
- The pancreas stump was secured with a running a non-absorbable suture
- A JP drain was left in the lesser sac and covered with omentum