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Pitfalls for laparoscopic pancreaticoduodenectomy: Need for a stepwise approach

Authors
 Jonathan Geograpo Navarro  ;  Chang Moo Kang 
Citation
 ANNALS OF GASTROENTEROLOGICAL SURGERY, Vol.3(3) : 254-268, 2019 
Journal Title
 ANNALS OF GASTROENTEROLOGICAL SURGERY 
Issue Date
2019
Keywords
laparoscopic pancreaticoduodenectomy ; pitfall ; step‐wise approach ; technique
Abstract
Because of today's advancements in surgical techniques and perioperative management skills, surgeons are beginning to explore the usefulness of the laparoscopic approach in managing periampullary tumors. However, as a result of its innate complexity and associated high surgery-related complications, its applicability to the general surgical community remains controversial. To date, only retrospective data from high-volume centers support the safety and feasibility of laparoscopic pancreaticoduodenectomy (Lap PD) for the treatment of benign conditions and malignant periampullary tumors. In addition, various surgical techniques in terms of port placement, dissection, and reconstruction have evolved in different centers depending on the preferred method commonly used by the surgeon through accumulated experience. In our center, we used a stepwise approach and standardized our surgical technique to overcome this technically demanding procedure. A collaborative implementation of video review and analysis, practice training and simulation, operating room didactics, and strict adherence to our stepwise approach in Lap PD, might potentially improve the surgical skills of young hepatobiliary surgeons and possibly overcome the volume-based learning curve of Lap PD.
Files in This Item:
T201902224.pdf Download
DOI
10.1002/ags3.12242
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170402
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