c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Whipple (Video): 13

A D V E R T I S E M E N T

   

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The hepatoduodenal ligament was dissected. One vessel loop is around the right hepatic artery, which branched early and crossed anterior to the common bile duct. The right gastric and gastroduodenal arteries were divided to mobilize the right hepatic artery cephalad. The left hand vessel loop surrounds the common bile duct. The portal vein is seen between the proper hepatic artery (see biliary arterial supply) and the common duct.   

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Whipple (Video): 14

A D V E R T I S E M E N T

   

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The inferior border of the neck of the pancreas was dissected, and the superior mesenteric vein was exposed. Gentle finger dissection beneath the neck of the pancreas and directly anterior to the vein showed that the gland could be safely separated from the superior mesenteric/portal vein. A Carmalt clamp is in place between the neck of the pancreas and the superior mesenteric vein in this shot.    

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Whipple (Video): 15

A D V E R T I S E M E N T

   

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The tunnel was completed and a Penrose drain was passed. The commitment was made to proceed with a Whipple procedure, and the gallbladder was removed.     

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This page was last modified on 11/5/2002.