Laparoscopic distal pancreatectomy with possible splenectomy [case 14]

OR Footage

Summary of surgeons' findings and slowing down moments:

Operating surgeon

  • Dr. Cleary's Procedure-specific moments:
    1. Mobilization of pancreas
    2. Possible splenic preservation
    3. Dissection of splenic vessels
    4. Division at neck of pancreas
    5. Dissection of pancreatic tail at splenic hilum
  • Critical imaging findings:
    1. Cystic nature of lesion
    2. Tumor proximity to splenic vein
    3. Tumor proximity to left adrenal gland
    4. Posterior pancreas margin: Gerota's fascia
    5. Anterior pancreas margin: posterior wall of stomach

Consulting surgeon

  • Dr. Moulton's procedure-specific moments:
    1. Tumor proximity to portal vein, tunnel behind neck of pancreas
    2. Tumor proximity to splenic vein and splenic artery
    3. Possible splenic preservation
    4. Retroperitoneal dissection
  • Patient imaging findings:
    1. No formal tunnel dissection required
    2. Normal ligation of splenic vein and splenic artery
    3. Warshaw technique for splenic preservation
    4. Tumor proximity to left adrenal gland

Watch the following videos from the operation to see some of the key moments in the case.

Exposure
Mobilization of cystic lesion
Splenic artery dissection
Splenic vein dissection
Pancreatic dissection
Dissection of pancreatic tail
<< Previous Next >>

Acknowledgements
Thank you to the HPB Surgeons who contribute their time and expertise. This content is made possible through educational grants from:
AHPBA IHPBA Ethicon

Views and opinions expressed in all videos and module content are those of the individual surgeon and solely intended for surgical education purposes. We do not endorse any product, treatment or therapy.

Corporate Partners

Angiodynamics logo
Baxter logo

If you are interested in becoming a Corporate Partner of the IHBPA please contact industry@ihpba.org

Find out more