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Title
1. Introduction
2. Incision and Access to the Abdominal Cavity
3. Abdominal Exploration to Rule out Metastasis
4. Open Lesser Omentum to Expose the Pancreas
5. Hepatic Artery Exposure
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a. Preaortic Tissue Biopsy for Frozen
6. Follow Hepatic Artery to Celiac Trunk and Splenic Artery
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a. Harvest Celiac Lymph Nodes
7. Develop Plane Behind Pancreas
8. Pancreas Transection
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a. Send Additional Transection Margin for Frozen Section to Confirm Negative Margins
9. Splenic Vessels Identification and Division
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a. Tie and Divide Splenic Artery Before Splenic Vein
10. Develop Retropancreatic Plane over the Renal Vein Following it to the Left
11. Approach Through the Gastrocolic Omentum, Taking Down Short Gastrics and Mobilizing the Spleen to Deliver the Specimen
12. Hemostasis
13. Closure
14. Post-op Remarks
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Open Distal Pancreatectomy for Pancreatic Cancer
Morgan L. Hennessy, MD, PhD
;
Carlos Fernandez-del Castillo, MD
Massachusetts General Hospital
Tags:
General Surgery
Oncologic Surgery
Multidisciplinary Surgery
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Authors
Morgan L. Hennessy, MD, PhD
Carlos Fernandez-del Castillo, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
10/11/2022
Article ID
339
Production ID
0339
Volume
2022
Issue
339
DOI
https://doi.org/10.24296/jomi/339