Open Pylorus Preserving Pancreaticoduodenectomy (PPPD)
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Abdominal cavity approach

Skin

Incise

Incise the skin using a Chevron or midline incision. For a more detailed elaboration of this, refer to the course: Abdominal Wall Incision – Chevron or Abdominal Wall Incision – Midline.

Round ligament of the liver preservation

If preserved, the round ligament can later be used as a protective cover or as a vascular interposition graft. It is advised to transect the round ligament of the liver as close to the umbilicus as possible for maximal length.

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