Open Redundant Enucleation of Pancreatic Lesion

Abstract

Indication • Small lesions of the pancreas not in continuity with the pancreatic duct • Larger lesions originating from the edge of the pancreas that do not require nodal dissection Essential Steps 1. Upper midline incision. 2. Explore the abdomen and confirm pathology and stage. 3. Open lesser sac. 4. Dissect tumor free from surrounding attachments. 5. Enucleate tumor using electrocautery or energy device. 6. Place drain in lesser sac. Note These Technical Variations • Lymph node sampling Complications • Pancreatic fistula, abscess • Injury to the common bile duct, superior mes-enteric vein, splenic vein, or spleen Template Operative Dictation Preoperative Diagnosis Neuroendocrine tumor/IPMN of the pancreas located in the head/uncinate process/body/tail Procedure Open enucleation of pancreatic tumor Postoperative Diagnosis Same Indications This ___-year-old male/female developed symptoms of _____ and on evaluation was found to have a neuroendocrine tumor/other of the body/uncinate process/body/tail of the pancreas amenable to simple enucleation. Description of Procedure An epidural catheter was placed by anesthesia prior to the start of the operation. The patient was placed in the supine position. Time-outs were performed using both preinduction and pre-incision safety checklists to verify correct patient, procedure, site, and additional critical information prior to beginning the procedure. General endotracheal anesthesia was