J Korean Soc Endosc Laparosc Surg.  2009 Dec;12(2):153-156.

Hand Assisted Laparoscopic Transduodenal Ampullary Mass Excision

• Youn SH
• Kim YH
• Jung GJ
• Roh YH

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.

Keyword

Hand assisted; Transduodenal ampullary mass excision; Ampullary mass

MeSH Terms

Common Bile Duct
Duodenum
Hand
Pancreatic Ducts