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dc.contributor.authorBattal, Muharrem
dc.contributor.authorYılmaz, Ahmet
dc.contributor.authorÖztürk, Gökmen
dc.contributor.authorKaratepe, Oğuzhan
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:38Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:38Z
dc.date.issued2016en_US
dc.identifier.citationBattal, M., Yılmaz, A., Öztürk, G. ve Karatepe, O. (2016). The difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomy. Journal of Minimal Access Surgery, 12(4), 338-341. https://dx.doi.org/10.4103/0972-9941.181385en_US
dc.identifier.issn0972-9941
dc.identifier.issn1998-3921
dc.identifier.urihttps://dx.doi.org/10.4103/0972-9941.181385
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3204
dc.descriptionWOS: 000384291900008en_US
dc.descriptionPubMed ID: 27251830en_US
dc.description.abstractBackground: Recently, total laparoscopic pancreatectomy has been performed at many centres as an alternative to open surgery. In this study, we aimed to present the difficulties that we have encountered in converting from classic open pancreaticoduodenectomy to total laparoscopic pancreatectomy. Materials and Methods: Between December 2012 and January 2014, we had 100 open pancreaticoduodenectomies. Subsequently, we tried to perform total laparoscopic pancreaticoduodenectomy (TLPD) in 22 patients. In 17 of these 22 patients, we carried out the total laparoscopic procedure. We analysed the difficulties that we encountered converting to TLPD in three parts: Preoperative, operative and postoperative. Preoperative difficulties involved patient selection, preparation of operative instruments, and planning the operation. Operative difficulties involved the position of the trocars, dissection, and reconstruction problems. The postoperative difficulty involved follow-up of the patient. Results: According to our experiences, the most important problem is the proper selection of patients. Contrary to our previous thoughts, older patients who were in better condition were comparatively more appropriate candidates than younger patients. This is because the younger patients have generally soft pancreatic texture, which complicates the reconstruction. The main operative problems are trocar positions and maintaining the appropriate position of the camera, which requires continuous changes in its angles during the operation. However, postoperative follow-up is not very different from the classic procedure. Conclusion: TLPD is a suitable procedure under appropriate conditions.en_US
dc.language.isoengen_US
dc.publisherMedknow Publications and Media Pvt. Ltd.en_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPancreatic Canceren_US
dc.subjectTotal Laparoscopic Pancreaticoduodenectomyen_US
dc.subjectWhipple Procedureen_US
dc.titleThe difficulties encountered in conversion from classic pancreaticoduodenectomy to total laparoscopic pancreaticoduodenectomyen_US
dc.typearticleen_US
dc.relation.ispartofJournal Of Minimal Access Surgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.identifier.volume12en_US
dc.identifier.issue4en_US
dc.identifier.startpage338en_US
dc.identifier.endpage341en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.4103/0972-9941.181385en_US
dc.identifier.wosqualityQ4en_US
dc.identifier.scopusqualityQ2en_US


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