Laparoscopic total pancreatectomy with total mesopancreas dissection using counterclockwise technique and tail-first approach.

ABSTRACT: Laparoscopic total pancreatectomy (LTP) is technically challenging and infrequently documented in the literature. In this paper, we present a new approach for performing fully LTP, a pancreatic tail-first approach with a counterclockwise technique, to accomplish total mesopancreas dissection and standard lymphadenectomy en bloc. Firstly, the tail and body of the pancreas without the spleen were dissected retrogradely, starting from the lower border of the body of pancreas and then from left to right. After that, a counterclockwise dissection of the tail and body of the pancreas was performed. The splenic artery and vein were divided at the terminal end of the pancreatic tail. The spleen was preserved. The entire body and tail of the pancreas were then pulled to the right side. This maneuve

SUBMITTER: Nguyen TK 

PROVIDER: S-EPMC11830897 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature