Laparoscopic Resection of A Neuroendocrine Tumor of the Common Bile Duct With Hepaticoduodenostomy


Laparoscopic Resection of A Neuroendocrine Tumor of the Common Bile Duct With Hepaticoduodenostomy

Presented by Steven S Rothenberg, MD, FACS, FAAP at the SAGES 2014 Meeting; Panel – Concurrent Session SS3 V016

Steven S Rothenberg, MD, FACS, FAAP, Ted Stathos, FAAP; The Rocky Mountain Hospital for Children

Points of interest:
Pt history–5 sec
intraluminal view–22 sec
site of biliary reconstruction–2:34

Keyword(s): 4-0 PDS suture, abdominal scars, above the level, acute cholangitis, acute onset, adhesions, alk phos, alleve the obstruction, amylase, anterior wall, back wall, bifurcation, biliary reconstruction, blunt dissection, CBD, circumferentially, clipped proximally, complete division, compression, corner stitch, CT scan, cystic duct, dialted common hepatic duct, dilated CBD, dissector, distal margins, distally, divided, dome of gallbladder, duodenostomy, duodenum, elevated ALT, elevated AST, end to side anastomosis, endo GIA, endoscopic specimen bag, endoscopic stapler, epithelial origin, ERCP, exposing, extraluminal compression, fascial division, female, fever, frozen section, gallbladder resection, head of pancreas, hepatic artery, hepatico-duodenostomy, hook cautery dissection, inflammation, initial exploration, interrupted, intraluminal mass, intraluminal stent, intraluminal view, jaundice, knots intraluminal, kocherization, laparoscopic biopsy, laparoscopic resection, level of insertion, lipase, lymphoma, mobilized, N&V, negative, neuroendocrine tumor, no evidence of tumor, obstruction, obstruction of common hepatic duct, permanent sections, placed, placement of transabdominal wall sutures, portal structures, portal vein, ports, previous biopsy, proximal bile duct, proximal margins, re-exploration, re-inserted, removed, removed without difficulty, resection margin, resection of tumor, retraction, right lobe of liver, RUQ pain, SGOT, sharp dissection, site, specimen, splaying, stone, sutures, tied intracorporeally, transition, tumor, umbilical trocar site, US, visible tumor, well encapsulated, without significant blood loss

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