The Video Content has been made available for educational purposes only for surgical training of SIRIRAJ surgical resident and HPB fellow training program**
This VDO demonstrate how to perform level 2 dissection PD for IPMN with multiple worrisome features.
Educational uncut with speed 2-2.5x
Resection time 1.55 h
EBL 20 ml
Chapters:
0:00 Midline incision
0:15 Hepatic flexor mobilization
1:08 Kocherization
6:20 Gastrocolic ligament dissection
9:50 Division of Treitz ligament
11:20 Disesection at Inferior border of pancreas to identify SMV
11:40 Gastrocolic trunk division
12:40 Pancreatic neck tunneling
12:55 Duodenal transection
14:28 Hepatoduodenal ligament dissection
15:30 Dissection along superior border of pancreas to identify CHA
17:54 Encircle GDA
18:00 Ligate ASPDA, GDA
21:35 Encircle CHA
22:55 Cholecystectomy
24:30 Encircle CBD
26:20 CBD transection
26:55 Encircle pancreatic neck
27:10 Jejunum transection
29:20 Uncinate process dissection
36:00 SMA root
38:18 Pancreatic neck transection
40:00 Ligate PSPDV
42:18 Anatomical landmark after specimen removal
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