Narong Boonyagard, MD. BMA General Hospital
Total laparoscopic pancreaticoduodenectomy(TLPD) is one of the most advance abdominal operation due to the anatomical location and the surrounding major vasculature. Although laparoscopic surgery for oncology is rapidly growing in worldwide, laparoscopic surgery for pancreaticoduodenectomy has been slower than with other abdominal procedures because of the complexity and longer operative time.
Fortunately, with new advances in laparoscopic technology and instrument within the past decade, TLPD is beginning to gain wider acceptance. TLPD was first reported in 1994 by Ganger and Pomp and since then, several series reported on the safety and feasibility of TLPD.
At the earliest stage, the advantage of TLPD were questionable because of long operative time. But recent data shown that TLPD might not only be safe and feasible, but it might result in improved perioperative recovery, lower blood loss and equivalent oncologic outcome when compared with open surgery. However, randomized controlled trial is needed to evaluate differences between these groups
In this video, we describe a technique for Total Laparoscopic Pancreaticoduodenectomy of ampullary carcinoma in a 56 year-old female in Bangkok Metropolitan Administration (BMA) General Hospital Bangkok, Thailand. This video demonstrates a technique for resection, review anatomy and mainly focus on reconstruction part.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94164
Program Number: V033
Presentation Session: Exhibit Hall Theater Video Session I
Presentation Type: EHVideo