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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