Laparoscopically Assisted Pancreaticoduodenectomy First Sri Lankan Experience

Pancreaticoduodenectomy (PD) is the curative surgical option for periampullary tumors. Minimally invasive pancreaticoduodenectomy (MIPD) is gaining popularity as the open PD has considerable morbidity and mortality. MIPD was first described in 1994 by Gagner and Pomp. Since then the literature is flourishing with case reports and systematic reviews and are rapidly increasing in recent past. The first Sri Lankan report of laparoscopic pancreatico-duodenectomy with all anastomosis done by mini-laparotomy is in 2015. The patient presented in this report underwent pancreaticoduodenectomy and the hepatico-jejunostomy laparoscopically followed by mini-laparotomy for the other two anastomoses.