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Title
0. Introduction
1. Exposure
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a. Midline Incision, Enter Peritoneum
b. Enter Lesser Sac/Wide Kocher Maneuver
c. Evaluate Pylorus and Duodenum
2. Duodenal Resection
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a. Take R. Gastroepiploic & R. Gastric Arteries
b. Examine Pylorus and Duodenum for Tumor
c. Divide Duodenum
3. Gastric Resection
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a. Mobilize Stomach/Divide Vessels along Lesser and Greater Curvature
b. Resect Antrum and Send Specimen for Path
4. Retrocolic Gastrojejunostomy
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a. Bring up Jejunal Limb
b. Anastomosis, Outer Layer
c. Inner Layer, Running 3-0 Vicryl
d. Lembert Sutures
e. Bring Anastomosis through Trap and Suture in Place
5. Closure
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a. Fascia Closed with #1 Running Prolene and Skin Stapled
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Open Antrectomy and Duodenal Resection for Neuroendocrine Tumor
Derek J. Erstad, MD
;
David L. Berger, MD
Massachusetts General Hospital
Tags:
General Surgery
Oncologic Surgery
Main Text
Procedure Outline
Transcript
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Authors
Derek J. Erstad, MD
David L. Berger, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
9/11/2024
Article ID
28
Production ID
0089
Volume
2024
Issue
28
DOI
https://doi.org/10.24296/jomi/28