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, 30, 190-193

Long-sleeve-working-port Assisted Laparoscopic pancreaticoduodenectomy-A New Technique in Laparoscopic Surgery

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Long-sleeve-working-port Assisted Laparoscopic pancreaticoduodenectomy-A New Technique in Laparoscopic Surgery

Ying Jun Chen et al. Int J Surg Case Rep.

Abstract

Introduction: Advances in technology and instruments have made laparoscopic pancreaticoduodenectomy (LPD) feasible. Unfortunately, this operation is technically very challenging and it is not widely accepted by laparoscopic surgeons.

Presentation of case: A 59-year-old woman underwent LPD using a newly invented long-sleeve-working-port (LSWP) for a mucinous cystadenoma of the head of pancreas. This case report describes this port and its use on this patient.

Discussion: LSWP is a new invention to facilitate difficult laparoscopic operations. Through this LSWP, ordinary instruments used in open surgery can be used to overcome the limitation encountered in conventional laparoscopic surgery.

Conculsion: LSWP made complex laparoscopic surgery less complex.

Keywords: Laparoscopy; Mucinous cystadenoma; Pancreaticoduodenectomy.

Figures

Fig. 1
Fig. 1
MRI scan showing a mass with solid and cystic components in the head of the pancreas.
Fig. 2
Fig. 2
Positions of the ports.
Fig. 3
Fig. 3
The long-sleeve-working-port. 1. retractor, 2. long sleeve, 3. Gloved hand of the surgeon, 4. ring put on the wrist of the surgeon, 4c. the groove of the ring for binding, 5. the terminal of the sleeve being bound on the ring, 6. the abdominal wall.
Fig. 4
Fig. 4
The surgeon’s hand holding an ordinary needle holder of open surgery through the LSWP.
Fig. 5
Fig. 5
A stent put across the pancreaticojejunostomy.

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