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Title
Animation
1. Introduction
2. Laparoscopic Access, Diagnostic Laparoscopy, and Biopsy of a Liver Nodule
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a. Skin Marking
b. Port Placement, Insufflation with Hasson's Technique, and Diagnostic Laparoscopy
c. Biopsy of the Liver Nodule
d. Frozen Section Results
3. Division of Falciform Ligament and Liver Retraction with a Transfascial Endoloop Suture
4. Mini-Pfannenstiel Incision
5. Robot Docking
6. Division of Gastrocolic Ligament, Mobilization of Right Colon, and Kocher Maneuver
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a. Preparation for GJ Anastomosis
b. Kocher Maneuver
7. Pancreaticoduodenectomy and Lymphadenectomy
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a. Inframesocolic Dissection of Duodenojejunal Flexure
b. Division of Proximal Jejunum
c. Further Retrograde Dissection of Duodenum
d. Division of Stomach Proximal to Pylorus
e. Excision Biopsy of Station 8 Lymph Node
f. Ligation and Division of Gastroduodenal Artery
g. Cholecystectomy
h. Dissection of Extrahepatic Bile Ducts Within Hepatoduodenal Ligament; Ligation and Division of Common Hepatic Duct
i. Creation of Retropancreatic Tunnel and Division of Pancreas at its Neck
j. Conclusion of Pancreaticoduodenal Resection: Mobilization and Excision of Duodenum and Head of Pancreas
k. Retrieval of Specimen
8. Pancreaticojejunostomy
9. Hepaticojejunostomy
10. Gastrojejunostomy
11. Robot Undocking
12. Laparoscopic Access, TAP Block, Additional Irrigation and Suction, and Application of Fibrin Sealant
13. Desufflation and Closure
14. Post-op Remarks
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Robotic Whipple Procedure for an Ampullary Intramucosal Carcinoma
Charles C. Vining, MD, FACS, FSSO
;
Rushin D. Brahmbhatt, MD, FACS
;
Lawrence M. Knab, MD, FACS, FSSO
Penn State Health Milton S. Hershey Medical Center
Tags:
General Surgery
Oncologic Surgery
Main Text
Procedure Outline
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Authors
Charles C. Vining, MD, FACS, FSSO
Rushin D. Brahmbhatt, MD, FACS
Lawrence M. Knab, MD, FACS, FSSO
Filmed At:
Penn State Health Milton S. Hershey Medical Center
Article Information
Publication Date
11/28/2025
Article ID
505
Production ID
0505
Volume
2025
Issue
505
DOI
https://doi.org/10.24296/jomi/505