Journal of Gastrointestinal Surgery

, Volume 15, Issue 2, pp 373–377 | Cite as

Laparoscopic Pylorus-Preserving Pancreatic Head Resection and Hybrid Open Reconstruction via Pancreatogastrostomy

  • Tobias KeckEmail author
  • Simon Kuesters
  • Ulrich Wellner
  • Ulrich Theodor Hopt
  • Wojciech Konrad Karcz
How I do it



Laparoscopic pancreatic surgery is ambitious and should only be performed in institutions with expert knowledge in pancreatic surgery.


Whereas pancreatic tail resection is routinely and safely performed in several institutions, the laparoscopic resection of the pancreatic head is only performed by a handful of surgeons.


In this article, we present our hybrid approach with complete laparoscopic pylorus-preserving pancreatic head resection and successive reconstruction via a small retrieval incision, which might combine the advantages of the laparoscopic resection with the safety of an open and routine pancreatic anastomosis.


Laparoscopic pancreatic surgery PPPD Pancreatogastrostomy Cystic neoplasms 

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Copyright information

© The Society for Surgery of the Alimentary Tract 2010

Authors and Affiliations

  • Tobias Keck
    • 1
    Email author
  • Simon Kuesters
    • 1
  • Ulrich Wellner
    • 1
  • Ulrich Theodor Hopt
    • 1
  • Wojciech Konrad Karcz
    • 1
  1. 1.Department of General and Visceral SurgeryUniversity of FreiburgFreiburgGermany

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