Thursday, October 30, 2014

Distal Pancreatectomy


Distal Pancreatectomy
Objective
In case of:
•   Tumors of body and tail of pancreas
•   Traumatic injury of body and tail
•   Chronic pancreatitis localized to body and tail.
Position
Supine.
Anesthesia
General.
Incision
Midline.
Procedure
•   Mobilize spleen and pancreas
•   Ligate splenic vein at its junction with SMV with vascular sutures
•   Ligate splenic artery at the same level
•   Divide pancreas in a fish-mouth manner
•   Close pancreatic duct with a nonabsorbable suture, e.g. prolene
•   Approximate anterior and posterior surfaces of the pancreas using interrupted nonabsorbable sutures
•   Drain pancreatic bed
•   Close wound in layer.
Instruments
•   General set, 1
•   Gastrointestinal set, 1
•   Deep set, 1
•   Hemoclip applier (Fig. 17.25).

Any questions be sent to drmmkapur@gmail.com
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