Laparoscopic Multivisceral Distal Pancreatosplenectomy - Neoplastic
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Laparoscopic Multivisceral Distal Pancreatosplenectomy - Neoplastic

This Laparoscopic Multivisceral Distal Pancreatosplenectomy – Neoplastic course will teach you:

  • To laparoscopically resect the pancreas and spleen together with parts of the stomach, transverse colon and adrenal gland in case of a neoplasm that invaded these surrounding organs.

Special attention is paid to the following hazards you may encounter during the Laparoscopic Multivisceral Distal Pancreatosplenectomy – Neoplastic:

  • Gastro-epiploic vessel injury
  • Transverse colon injury
  • Gastro-epiploic vessel compromise
  • Wrong artery identification
  • Hemorrhage during dissection
  • Extensive vasculature
  • Involvement of transverse colon into tumor
  • Superior and inferior mesenteric vein injury
  • Nasogastric tube transection
  • Loss of orientation
  • Unclear resection margins
  • Ischemic colon

With the following tips you might perform the Laparoscopic Multivisceral Distal Pancreatosplenectomy – Neoplastic even better:

  • Trocar placement
  • Suspicious lesion
  • Preserving splenic branch of left gastro-epiploic vessels in spleen-preserving procedure
  • Tumor invasion into stomach
  • Timing of partial stomach resection
  • Gauze swab placement
  • Splenic artery identification
  • Hepatic artery lymph node
  • Vessel involvement in tumor
  • Extensive tumor resection
  • Order of examination and evaluation
  • Stripping of the stomach
  • Isolation of the stomach
  • Extra trocar placement
  • Tumor exploration
  • Transverse colon isolation
  • Marginal colic artery transection
  • Vessel encircling
  • Suspensory ligament of duodenum transection
  • Lateral natural adhesion transection
  • Blood vessel transection
  • Level of pancreas transection
  • Graded compression technique
  • Order of splenic vein and artery transection
  • Preoperative scan evaluation
  • Phased partial stomach transection
  • Hemorrhage preparation
  • Dissection plane visualisation
  • Specimen removal
  • Confirmation nasogastric tube

After studying this Laparoscopic Multivisceral Distal Pancreatosplenectomy – Neoplastic course you are familiar with the most common complications:

  • Pancreatic fluid leakage
  • Endocrine or exocrine insufficiency
  • Postsplenectomy sepsis
  • Postoperative ileus
  • Anastomotic leakage

You might also be interested in:
Open Distal Pancreatectomy
Open Distal Pancreatosplenectomy
Open Pylorus Preserving Pancreaticoduodenectomy (PPPD)

Step by step

Abdominal cavity approach

Skin

Mark

Mark an approximately 0.5 cm transverse incision line at a point just caudal to the costal arch in the midclavicular line.

Incise

Incise the skin over the previously made marking.

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