Standard port placement for laparoscopic pancreatic surgery: How we do it
Abstract
Advanced laparoscopic surgeries are technically demanding, among which laparoscopic pancreatic surgeries are the most challenging. One of the technical difficulties is the improper port placement. As there is no standard port placement for laparoscopic pancreatic surgeries, it is difficult to get proper angle to work at different steps of the surgery if ports are not well placed. It is also responsible for musculoskeletal problems to the operating surgeon. Here we propose a standard port placement for laparoscopic pancreatic surgery which gives ergonomic comfort in all laparoscopic pancreatic surgeries.
References
Correa-Gallego C, Dinkelspiel HE, Sulimanoff I, Fisher S, Viñuela EF, et al. Minimally-invasive vs open pancre-aticoduodenectomy: Systematic review and meta- analysis. J Am Coll Surg 2014; 218(1):129–39. doi: 10.1016/j.jamcollsurg.2013.09.005.
Hasukic S. Techniques: Suturing and knot tying in lapa-roscopy. BH Surgery 2011; 1(1): 53–58
Palanivelu C. Laparoscopic pancreatojejunostomy. 1st ed. In: Art of laparoscopic surgery: Textbook and atlas. India: Jaypee Brothers Medical Publishers (P) Ltd; 2007. p. 889–897.
Salky B. Distal pancreatectomy. 2nd ed. In: Scott-Conner CEH, (editor). The SAGES manual: Fundamentals of laparoscopy, thoracoscopy, and GI endoscopy. Germany: Springer; 2006. p. 393–399.
Kendrick ML, Cusati D. Total laparoscopic pancreati-coduodenectomy: Feasibility and outcome in an early experience. Arch Surg 2010; 145(1): 9–23. doi: 10.1001/archsurg.2009.243
Copyright (c) 2017 Jitendra H. Mistry, Sanjiv Haribhakti
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