Hand Assisted Laparoscopic Transduodenal Ampullary Mass Excision.
- Author:
Soon Hwa YOUN
1
;
Young Hoon KIM
;
Ghap Joong JUNG
;
Young Hoon ROH
Author Information
1. Department of Surgery, Dong-A University College of Medicine, Busan, Korea. yhkim1@dau.ac.kr
- Publication Type:Case Report
- Keywords:
Hand assisted;
Transduodenal ampullary mass excision;
Ampullary mass
- MeSH:
Common Bile Duct;
Duodenum;
Hand;
Pancreatic Ducts
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009;12(2):153-156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transduodenal ampullectomy may be an alternative procedure, and at times a more appropriate procedure, for the management of benign neoplasms of the ampulla. We describe here our technique for performing the lesser invasive transduodenal ampullectomy. First, the duodenum is mobilized with the left hand, which is inserted via a hand port, and a right Harmonic scarpel(R) (Ethicon. Endo-surgery, Cincinnati, OH, USA) is used for duodenal incision and mass removal via a right subcostal incision. After checking the continuity and that there is no leakage of the pancreatic duct and common bile duct, the operation is finished. For transduodenal mass excision, the hand assisted laparoscopic transduodenal procedure is as good for the duct continuity and anastomosis leakage as that for the open procedure. Furthermore, this procedure is less invasive than the open procedure.
