About laparoscopic surgery

1. Knack and Pitfall of
Advanced Laparoscopic
Pancreatectomies
Mustafa Kerem, MD, FACS, Prof.
Gazi University, Ankara,Turkey

2. Lap PD resection

3. Lap PD-bleeding 1

4. Lap PD-bleeding 2

5. Knack-Surgeon aspect
• Open pancreatic surgery
• Advanced skillful in laparoscopy
Experienced
• Be patience
• good mentor
• Adequatly visting experienced center/s
• good co-worker/s
Having

6. Knack-technical aspect
High resolution monitors
Energy devices
Laparoscopic vascular set-up
Experienced technical support operating team

7. Knock-Patients aspects
•Small tumor
•No vascular invasion
•Morbid obesity
Selection ?

8. Pitfall
Bening-borderline tumors
Skinny and narrow abdomen
Self-confidence as much as more than
enough

9. Pitfall
Bleeding
Trusting overmuch energy devices
Do the bile duct and the pancreatic stump fit for
laparoscopy?