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      Laparoscopic pancreatic resection. From enucleation to pancreatoduodenectomy. 11-year experience.

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          Abstract

          Our experience with laparoscopic pancreatic resection began in 2001. During initial experience, laparoscopy was reserved for selected cases. With increasing experience more complex laparoscopic procedures such as central pancreatectomy and pancreatoduodenectomies were performed.

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          Most cited references24

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          Laparoscopic pylorus-preserving pancreatoduodenectomy with double jejunal loop reconstruction: an old trick for a new dog.

          Pancreatoduodenectomy is an established procedure for the treatment of benign and malignant diseases located at the pancreatic head and periampullary region. In order to decrease morbidity and mortality, we devised a unique technique using two different jejunal loops to avoid activation of pancreatic juice by biliary secretion and therefore reduce the severity of pancreatic fistula. This technique has been used for open pancreatoduodenectomy worldwide but to date has never been described for laparoscopic pancreatoduodenectomy. This article reports the technique of laparoscopic pylorus-preserving pancreatoduodenectomy with two jejunal loops for reconstruction of the alimentary tract.
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            Laparoscopic resection of uncinate process of the pancreas.

            Solid pseudopapillary neoplasm of the pancreas is an uncommon but distinctive pancreatic neoplasm with low metastatic potential [1]. Therefore, whenever feasible, an organ-preserving operation should be performed. As previously reported, women with solid pseudopapillary neoplasm of the pancreas may be best treated by more conservative procedures [2]. Recently, laparoscopic pancreatic resections became more common and are being performed in highly specialized centers. There are only six cases of laparoscopic resection for solid pseudopapillary neoplasm of pancreas published in the English literature and, to our knowledge, laparoscopic resection of uncinate process of the pancreas has never been reported [3-6]. This video demonstrates the technical aspects of a totally laparoscopic resection of the uncinate process of the pancreas in a patient with solid pseudopapillary neoplasm.
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              • Record: found
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              Evolution in techniques of laparoscopic pancreaticoduodenectomy: a decade long experience from a tertiary center

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                Author and article information

                Journal
                Arq Gastroenterol
                Arquivos de gastroenterologia
                FapUNIFESP (SciELO)
                1678-4219
                0004-2803
                December 11 2013
                : 50
                : 3
                Affiliations
                [1 ] Hospital Sírio Libanês, SP, Brasil.
                Article
                S0004-28032013000300214
                10.1590/S0004-28032013000200038
                24322194
                d6a26a66-d809-4d15-a503-d296710ae9b1
                History

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