Open Distal Pancreatectomy
This Open Distal Pancreatectomy course will teach you:
- To resect the pancreatic body and tail, while preserving sufficient pancreatic parenchyma to maintain endocrine and exocrine function.
Special attention is paid to the following hazards you may encounter during the Open Distal Pancreatectomy:
- Splenic vessel injury
- Splenic hilum injury
- Ligature fistula of the pancreatic duct
With the following tips you might perform the Open Distal Pancreatectomy even better:
- Splenic flexure mobilization
- Identifying the inferior mesenteric vein
- Fish mouth flap
- Staple line reinforcement
- Omental interposition
After studying the Open Distal Pancreatectomy course you are familiar with the most common complications:
- Pancreatic fluid leakage
- Splenic ischemia
- Endocrine or exocrine insufficiency
You might also be interested in:
Open Distal Pancreaticosplenectomy
Open Pylorus Preserving Pancreaticoduodenectomy (PPPD)
Step by step
Abdominal cavity approach
For adequate exposure the pancreatic Chevron or midline incision can be used. These are described in their specific courses.
Operating table adjustment
The resection is preferably performed in a flex and reflex position, or with a cushion underneath the patient’s back, to increase the exposure of the pancreas.
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