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Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm.

Kawaguchi M, Ishikawa N, Shimada M, Nishida Y, Moriyama H, Ohtake H, Watanabe G - Int J Surg Case Rep (2013)

Bottom Line: The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months.EVAR reduces retroperitoneal adhesions.A laparoscopic approach provides a small operative field and decreases mutual interference with AAA.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: surgkw@gmail.com.

No MeSH data available.


Related in: MedlinePlus

Picture showing the abdomen of the patient. The thin lines indicate the locations of the incisions. The short lower line indicates the additional incision made for dissection of the ligament of Treitz. The upper-middle line indicates the incision made for reconstruction.
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fig0015: Picture showing the abdomen of the patient. The thin lines indicate the locations of the incisions. The short lower line indicates the additional incision made for dissection of the ligament of Treitz. The upper-middle line indicates the incision made for reconstruction.

Mentions: To avoid disturbing the AAA or stimulating a residual AAA, we intended to perform Lap PD. Open laparoscopy was performed at the umbilicus, and an additional five ports were placed (Fig. 3). The patient had severe visceral steatosis, and the abdominal cavity was filled with omental fat. We cautiously performed a subtotal stomach-preserving PD. For mobilization around the ligament of Treitz and the fourth portion of the duodenum, an additional port was placed at the middle of the inferior abdomen (Fig. 3). During this procedure, neither duodenal adhesion to the aorta nor other inflammatory changes due to the previously placed stent graft were observed. No operative manipulations were affected by the caudal side of the AAA. After mobilization, an upper-middle incision of 15 cm was made, and the pancreas head was excised and removed.


Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm.

Kawaguchi M, Ishikawa N, Shimada M, Nishida Y, Moriyama H, Ohtake H, Watanabe G - Int J Surg Case Rep (2013)

Picture showing the abdomen of the patient. The thin lines indicate the locations of the incisions. The short lower line indicates the additional incision made for dissection of the ligament of Treitz. The upper-middle line indicates the incision made for reconstruction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860024&req=5

fig0015: Picture showing the abdomen of the patient. The thin lines indicate the locations of the incisions. The short lower line indicates the additional incision made for dissection of the ligament of Treitz. The upper-middle line indicates the incision made for reconstruction.
Mentions: To avoid disturbing the AAA or stimulating a residual AAA, we intended to perform Lap PD. Open laparoscopy was performed at the umbilicus, and an additional five ports were placed (Fig. 3). The patient had severe visceral steatosis, and the abdominal cavity was filled with omental fat. We cautiously performed a subtotal stomach-preserving PD. For mobilization around the ligament of Treitz and the fourth portion of the duodenum, an additional port was placed at the middle of the inferior abdomen (Fig. 3). During this procedure, neither duodenal adhesion to the aorta nor other inflammatory changes due to the previously placed stent graft were observed. No operative manipulations were affected by the caudal side of the AAA. After mobilization, an upper-middle incision of 15 cm was made, and the pancreas head was excised and removed.

Bottom Line: The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months.EVAR reduces retroperitoneal adhesions.A laparoscopic approach provides a small operative field and decreases mutual interference with AAA.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: surgkw@gmail.com.

No MeSH data available.


Related in: MedlinePlus