Procedure Distal Pancreatectomy

Access: An upper midline or left subcostal incision is best, depending on the angle of the costal margin.

STEP 1

The exposure and exploration are aided markedly by installation of a fixed blade retractor.

A careful, systematic exploration of the abdomen is performed to detect distant metastases (peritoneum, liver, distant nodal basins).

The lesser sac is entered through the gastrocolic ligament to expose the entire ventral surface of the pancreas from the gastroduodenal artery medially to the splenic hilum laterally.

The splenic flexure of the colon is mobilized inferiorly; cephalad retraction of the stomach and caudad retraction of transverse colon exposes the pancreatic bed.

Vessels along the greater curvature of the stomach, including the vasa brevia, are ligated with fine silk ties and divided.

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook


Post a comment