Laparoscopic Excision of Duodenal Web

Excision of web

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The web was excised with the use of harmonic scalpel. 2/3rd of the web was excised except for the most medial parts to avoid injury to the biliary ampulla.

Keyword

  • Billliary ampulla

Conflict of Interest

The author declares no conflict of interest.

About this video

Author(s)
Ravi P. Kanojia
First online
07 August 2020
DOI
https://doi.org/10.1007/978-981-15-7021-6_5
Online ISBN
978-981-15-7021-6
Publisher
Springer, Singapore
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2020

Video Transcript

So we excised the web again with the use of harmonic scalpel. We made sure that the web is excised in the most lateral part. And we avoided dividing the web in the medial part or towards the head of the pancreas, in order to avoid any kind of injury to the abdomen. The web was quite thick and fleshy.

We intended to excise almost 2/3 part of this web so that it does not cause any kind of obstruction in future. So there you go. Quite a bit of web is excised. Some parts needs to be excised more.

So we are leaving behind the rim of the web on the most medial aspect and excising the rest of it. So now the web is completely excised. You can see that the two lumens on either side of the web are in continuity now.