Hand Assisted Laparoscopic Transduodenal Ampullary Mass Excision / 대한내시경복강경외과학회지
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
;
: 153-156, 2009.
Article
in Korean
| WPRIM
| ID: wpr-53529
ABSTRACT
Transduodenal ampullectomy may be an alternative procedure, and at times a more appropriate procedure, for the management of benign neoplasms of the ampulla. We describe here our technique for performing the lesser invasive transduodenal ampullectomy. First, the duodenum is mobilized with the left hand, which is inserted via a hand port, and a right Harmonic scarpel(R) (Ethicon. Endo-surgery, Cincinnati, OH, USA) is used for duodenal incision and mass removal via a right subcostal incision. After checking the continuity and that there is no leakage of the pancreatic duct and common bile duct, the operation is finished. For transduodenal mass excision, the hand assisted laparoscopic transduodenal procedure is as good for the duct continuity and anastomosis leakage as that for the open procedure. Furthermore, this procedure is less invasive than the open procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatic Ducts
/
Common Bile Duct
/
Duodenum
/
Hand
Language:
Korean
Journal:
Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
Year:
2009
Type:
Article
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