Totally Laparoscopic Puestow Procedure


Totally Laparoscopic Puestow Procedure

Presented by Jennifer Schwartz at the SAGES 2014 Meeting; Panel – Concurrent Session SS2 Video 1

Rosara Milstein, MS, Jennifer Schwartz, MD, Andrei Manilchuk, MD, David B Renton, MD; The Ohio State University

Points of interest:
PMI–11 sec
historical statement–22 sec
CT-31 sec
procedure begins–46 sec
post op course–6:05

Keyword(s): acessed, advanced to clear liquids, alcholism, alleviate, amylase, anastamosis, anchored corner, anterior wall, anterior wall of the pancreas, apex of the inferior wall of the pancreas, attaching, base of the transverse mesocolon, blind end, calcification of pancreatic wall, chronic pain, clear fluid, clip sutures in place, closed, completely opened, cross sutures, CT, cut to length, cuts of the CT, dilated pancreatic duct, dishcharged, drain, duct, ductotomy, ductotomy length, enterotomy, enterotomy length, ERCP, examine, exposed, extend, female, firm in texture, full thickness bites, gland, great difficulty, greater curve of the stomach, head of the pancreas, history of chronic pancreatitis, holding sutures in places, hook cautery, identified, identify, inferior border of ductotomy, inflammation, jejunojejunostomy, lesser sac, ligament of Treitz, literature, locks suture in place, looped end, Maryland dissector, mesenteric defect, midbody, needle, needle trauma, omentum, opened, oriented, pain free, pancreatic duct, pancreatic ductotomy, PMI, POD, positioned, posterior wall of stomach, prevent internal hernia formaton, pulled, pulled taut, pulled through tissue, regular diet, resistant, retrocolic fashion, risk of stricture, robotic assistance, Roux limb, running PDS barbed suture, side to side anastomosis, side to side jejunostomy, size mismatch, small bowel, stone, stone site, superior aspect of anastomosis, suture lines overlap, tack, tail of the pancreas, totally laparoscopic puestow procedure, transect, transverse mesocolon, trocars, uncomplicated post op course, unidirectionally barbed, wide channel

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