: home page : : crsa events : : about crsa : : video portal : : new tools : : advertising : : contacts : you need to install or upgrade flash player to view this content, install or upgrade by clicking here. viagra 30 year old male Robot-assisted whipple procedure rate this video: posted on: january 23, 2012 posted in: free videos, video gallery, video gallery - live surgery, video gallery - upper gi share this video del. Icio. Us blinklist digg facebook furl ma. order viagra Gnolia newsvine pownce reddit stumbleupon technorati twitter p. C. Giulianotti summary:the pneumoperitoneum is induced with the verres needle. viagra online without prescription The abdominal exploration does not show carcinomatosis and liver metastases. The inferior vena cava is exposed mobilizing the right colon and the duodenum. A lymph node sampling is taken at this level for frozen section (negative). The gastro-colic ligament is entered and the superior mesenteric vein (smv) is prepared to rule out neoplastic encasement. use female viagra video Cholecystectomy is carried out with the standard technique. The hepatic hilum is dissected. The main biliary duct is cut upstream of the cystic duct and the gastro-duodenal artery is ligated and cut. use female viagra video The stomach is transected with multiple fires of endoscopic linear stapler and the lymph node dissection extended to the common hepatic artery, the celiac trunk and the root of the splenic artery. viagra pills The pancreas is transected with the harmonic scalpel and margin of the wirsung duct sent for frozen sections (negative). The first jejunal loop is separated with linear stapler and rotated on the right side of the smv. The henle trunk is ligated and sectioned. The pancreas head and uncinate process are then dissected free from the portal and smv confluence. Thereafter, the superior mesenteric artery is skeletonized on its right side, allowing identification of the inferior pancreatico-duodenal arteries. viagra samples The jejunal limb is positioned in the right upper quadrant, via a retro-colic route. viagra sales uk The pancreaticojejunostomy is completed in a manner replicating the open procedure. viagra online sales co uk The pancreas-to-jejunal anastomosis is fashioned using a two- layer duct-to-mucosa technique. use female viagra video The hepaticojejunostomy is fashioned as an end-to-side anastomosis and finally the gastro-jejunostomy is completed. generic viagra without prescription The specimen is extracted through a suprapubic incision and two drains are routinely left in place. Related posts robot-assisted right hepatectomy and cholecystectomy robotic whipple, pylorus preserving pancreaticoduodenectomy with pancreaticogastrostomy robot-assisted bilio-enteric anastomosis laparoscopic right hem.




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