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HOW TO PERFORM LAPAROSCOPIC DISTAL PANCREATECTOMY USING THE CLOCKWISE TECHNIQUE
Adriano Carneiro da Costa1, Duncan Spalding1, Geraldo de Almeida Cunha-Filho1
1Imperial College London, Department of Hepatobiliary Surgery, Hammersmith Hospital - London, UK.
Background:
Laparoscopic pancreatectomy is currently a widely used approach for benign and malignant lesions of the pancreas.
Aims:
This study aimed to describe how to perform a laparoscopic distal pancreatectomy using The Clockwise Technique.
Methods:
An 18-year-old female patient presented with a well-defined tumor in the pancreatic body with 4 cm in diameter that suggested a diagnosis of solid pseudopapillary tumor (Frantz's tumor). The patient was recommended for laparoscopic distal pancreatectomy by using The Clockwise Technique.
Results:
The clockwise, caudal-to-cephalic approach appears to have other significant technical advantages that facilitate the performance of the procedure.
Conclusions:
A laparoscopic distal pancreatectomy performed using The Clockwise Technique provides satisfactory outcomes.

