Laparoscopic Distal Pancreatectomy for Adenocarcinoma of the Pancreatic Body

Giancarlo Basili, MD, Nicola Romano, MD, Dario Pietrasanta, MD, Graziano Biondi, MD, Orlando Goletti, MD

General Surgery Unit, ‘Lotti’ General Hospital, Pontedera, Pisa, ITALY

The video presents a case of a 73-year-old female patient affected by an adenocarcinoma of the body of the pancreas. CT-scan and magnetic resonance imaging demonstrated a solid lesion of about 25 mm in diameter. Serum carbohydrate antigen was highly elevated; CEA level was normal.
This video demonstrated the technique of a laparoscopic distal splenopancreatectomy which achieves a radical resection with clear circumferential margins. The resection proceeds right to the left to include celiac lymphadenectomy, early division of the splenic artery, splenic vein and the neck of the pancreas. A medial to lateral mobilization of the pancreas is performed to ensure an adequate oncologic clearance.

Session: Video Channel Day 1

Program Number: V040

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