HBP SURGERY WEEK 2018

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[Experts Videos - BP - ]

[BP EV 4] Mesenteric approach in PD for pancreatic cancer
Hiroki Yamaue
Wakayama University, Japan

Routine resection of the bile duct for LN dissection during extended cholecystectomy for gallbladder cancer (GBC) is not recommended, because it increases morbidity with no evidence of improving survival. Indications for this procedure include a positive cystic duct margin after cholecystectomy to obtain a negative margin, direct tumor invasion of the bile duct, and inflammation or scarring around the hepatoduodenal ligament compromising complete LN dissection. The feasibility of laparoscopic bile duct excision for GBC has been reported in the literature. Considering the increasing reports on laparoscopic surgery for choledochal cysts and laparoscopic pancreatoduodenectomy, the necessity of bile duct resection is not a contraindication for GBC laparoscopic surgery. The videos describe our technique of laparoscopic extended cholecystectomy including bile duct resection for GBC.


Word DownLoad_BP EV 4
SESSION
Experts Videos - BP
Room B 3/30/2018 5:15 PM - 5:30 PM