| Popis: |
Laparoscopic duodenopancreatectomy step by step. How I do it.Once a periampullary tumor is diagnose a clinical staging is performed. If considered resectable by means of a duodenopancreatectomy, laparoscopic resection may be considered, according with the extent and expertise. There are different ways to dissect the duodenopancreatic area, andhow to perform the reconstruction. The pancreatojejunostomy can be performed as in open surgery by a ductus-mucosa anastomosis technique or other variation. Importantly for he development of pancreatic fistula is the qualityof pancreas, hard or soft tissue. |
