| International Session (Symposium) 4 (JSGS・JSH) |
| Fri. November 2nd 9:40 - 12:00 Room 12: Kobe International Conference Center Main Hall |
| Laparoscopic pancreatectomies: creating a good team to perform reliable operation | |||
| Yoshiharu Nakamura1, Akira Matsushita1, Hiroshi Yoshida1 | |||
| 1Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School | |||
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| The advantages of laparoscopy over open surgery include the capability for 10 to 15 times magnification of intra-abdominal tissues, organs, and vessels, and improved visualization via monitor of the intra-abdominal organs, especially in the retroperitoneal region. Consequently, the laparoscopic approach for pancreatic surgery is obviously superior to the open approach. In addition, since all surgeons involved in the operation can observe the same view of the surgery via monitor, the senior surgeon can offer timely technical advice to the operator. In other words, laparoscopic surgery can also be used as a tool for surgical education. Education can increase the ability of the whole team. To date, 295 cases of laparoscopic pancreatectomy have been conducted in our institution. In order to train future surgeons, we created porcine models to prepare for those surgeries, including laparoscopic distal pancreatectomy, laparoscopic pancreaticoduodenectomy and laparoscopic cholangiojejunostomy, and we have trained many young doctors to become good laparoscopic surgeons in this way (Laparoscopic distal pancreatectomy: Educating surgeons about advanced laparoscopic surgery. Asian J Endosc Surg. 2014: 7: 295-300). Moreover, those porcine models have been used at official training seminars (Modified laparoscopic biliary enteric anastomosis procedure using handmade double-armed needles. Asian J Endosc Surg. 2016: 9: 93-96). The objective of this presentation is to provide a better understanding, based on our experience and a review of the literature, of how both to perform a reliable operation and create a good surgical team, by overcoming several difficulties arising in advanced laparoscopic pancreatectomy. |
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Index Term 1: laparoscopic distal pancreatectomy Index Term 2: laparoscopic pancreaticoduodenectomy |
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