Novel applications of endo GIA linear staplers during pancreaticoduodenectomy and total pancreatectomy.
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Laparoscopic access to the retroperitoneum is safe and feasible. Pancreatic resection requires complete familiarity with two-handed technique and knowledge of pancreatic anatomy. At present, only benign diseases should be approached laparoscopically, unless institutional review board approval exists for malignant disease.
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A 64-year-old man with a remote history of left radical nephrectomy presented with a recurrent mass in the renal bed. Computed tomography findings suggested a mass in the bed of the psoas. On laparoscopic exploration, he had metastasis to the tail of the pancreas. We describe our surgical management and the patient's postoperative course.
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