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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