Ann Surg Oncol (2017) 24:2785–2786 DOI 10.1245/s10434-017-5944-x OR IG INA L A R TIC L E – PA NC REATIC TU MO RS Completely Intracorporeal Handsewn Laparoscopic Anastomoses During Whipple Procedure 1,2 1 1 Giovanni Dapri, MD, PhD , Nigel Antonio Bascombe, MD , Leonardo Gerard, MD , 1 1 2 Carla Samaniego Ballart, MD , Carlos Gimenez Vin˜as, MD , and Sven Saussez, MD, PhD Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Universite Libre de Bruxelles, Brussels, Belgium; Laboratory of Anatomy, Faculty of Medicine and Pharmacy, University of Mons, Mons, Belgium ABSTRACT Background. Whipple procedure has been described since 1935, using classic open surgery. With the advent of minimally invasive surgery (MIS), it has been described to 2,3 be feasible using the latest technology. In this video the authors report a full laparoscopic Whipple procedure, realizing the three anastomoses by intracorporeal hand- sewn method. Video. A 70-year-old man who presented with adenocar- cinoma of the ampulla of Vater, inﬁltrating the pancreatic parenchyma underwent to a laparoscopic Whipple. Preop- erative work-up shows a T3N1M0 tumor. Results. No perioperative complications were registered. The pancreatico-jejunostomy was created in end-to-side fashion using two PDS 3/0 running sutures
Annals of Surgical Oncology – Springer Journals
Published: Jun 26, 2017
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