Open Pylorus Preserving Pancreaticoduodenectomy

Source: TMC: https://www.youtube.com/watch?v=4QW2EUToy1M

Analysis of Video
Presenter : Dr Shailesh Shrikhande
Organization : Tata Memorial Centre, Mumbai, India
Video Source : Tata Memorial Centre, Surgery Videos (U tube Channel)
Year of Posting : 2020
Case Details : Available
Type of Video : Edited
Duration : 18 minutes
Audio commentary : Yes
Step of Surgery : Well labelled during actual step

USP of Video:
1. Proper use of surgical clips for hemostasis
2. Dissection of Hepatoduodenal Ligament
3. Pancreatic Transection by surgical blade
4. Closure of Window of Ligaments of Treitz (10.05 minute)
5. PJ: 5-0 Vicryl. No internal stent, (10.30 minute), starting close to mesentry.
6. HJ: Thick wall duct: 4-0 vicryl, continuous, Thin wall duct: 5-0 vicryl, interrupted. Non stented.
7. Drainage: JP drain, one around biliary anastomosis, another around PJ anastomosis.
8. FJ is not routinely placed.