Preoperative Investigation and Preparation for Procedure


Clinical evaluation: Laboratory tests:

Radiological assessment:

Instruments and laparoscopes:

Jaundice, weight loss, abdominal pain, early satiety Signs of jaundice, cachexia, epigastric mass, ascites Liver function tests (albumin, total protein, bilirubin, alkaline phosphatase, transaminases), coagulation parameters (PT, APTT), urea and electrolytes, full blood count, C-reactive protein, tumor markers (CA19-9, CEA)

Ultrasonography, contrast-enhanced, dynamic, thin-cut CT of the pancreas and liver, in selected patients; endoscopic ultrasonography (EUS), endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP)

- 30-degree angled laparoscope, either 10mm or 5mm

- 5-mm laparoscopic instruments

- Maryland dissector

- Blunt tip dissecting forceps

- Cup-biopsy forceps

- Atraumatic grasping forceps

- Liver retractor

- Scissors

- 10-mm suction device

- Laparoscopic ultrasound probe (optional)

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