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Total laparoscopic pancreaticoduodenectomy.
Alessandro Paniccia1, Brandon Chapman1, Barish H Edil1
1Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Journal of Visualized Surgery
|October 29, 2017
Summary
Total laparoscopic pancreaticoduodenectomy (TLP) is a complex procedure now gaining popularity. This guide details the technique, patient selection, and management for safe and feasible minimally invasive pancreatic surgery.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Gastroenterology
Background:
- Total laparoscopic pancreaticoduodenectomy (TLP) is a complex abdominal procedure.
- Minimally invasive pancreatic surgery offers benefits over open approaches, proven in distal resections.
- Laparoscopic advantages like enhanced visualization and tissue handling are applicable to TLP.
Purpose of the Study:
- To describe a technique for performing TLP.
- To provide guidance on patient selection, pre-operative preparation, and equipment.
- To discuss postoperative management and common pitfalls in TLP.
Main Methods:
- Detailed description of the TLP surgical technique.
- Guidelines for patient selection and pre-operative optimization.
- Recommendations for postoperative care and complication management.
Main Results:
- The study outlines a feasible technique for TLP.
- It addresses key aspects from preparation to postoperative care.
- Common challenges and their solutions are discussed.
Conclusions:
- TLP is a safe and feasible minimally invasive option for pancreatic pathologies.
- This guide aids surgeons in performing TLP effectively.
- Understanding pitfalls improves patient outcomes in laparoscopic pancreatic surgery.