P Senthilnathan, Anand Vijai, V P Nalankilli, G Srivatsan, Sandeep Sabnis, Dilip Gode, R Parthasarathi, S Rajapandian, P Praveen Raj, C Palanivelu. GEM Hospital & Research Centre
Background: Pancreatoduodenectomy which has been used to treat about 40% of the reported duodenal GISTs, may be an excessive means of treating this disease. in this video we demostrate D3 resection for duodenal GIST and duodeno jejunal anstomosis
Patient details: 63 years old male incidently diagnosed D3 lesion which was investigated and found to be GIST. Endoscopic ultrasound done. We planned for laparoscopic D3 resection in this situation.
Technique: Patient was placed in leg split position and surgeon stands between the legs. Gastrocolic omentum was opened and extended Kocherization of duodenum done. Operability was assessed found ffree fromthe ( SMA)artery .Jejunum was divided 15 cm from DJ flexure and mesentry of jejunum was divided retrgradely and was brought supracolic.D3 was dissecterd carefully from pancreas and was divided at D2 . Side to side duodenal jejunal anastomosis done
Conclusion: Laproscopic D3 resection can be done safely in selected patients
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80838
Program Number: V216
Presentation Session: Video Loop
Presentation Type: VideoLoop