The stomach is retracted rostrally by the assistant, and the lesser sac and anterior surface of the pancreas are explored laparoscopically.
The lesion in the tail of pancreas may then become obvious.
Should the lesion not be obvious, laparoscopic ultrasonography can help localize the site of the lesion.
Laparoscopic ultrasonography should also be used to explore the liver if the possibility of metastasis from the malignant tumor exists.
The posterior peritoneum along the inferior surface of the pancreas is incised toward the spleen.
The pancreas is mobilized gently by lifting it off the posterior, retroperitoneal soft tissues, and the feasibility of laparoscopic resection is confirmed.
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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.