Foreword

In an era in which electronic and multimedia delivery of information have become the standard in news and entertainment, it is apparent that education in general has been slow to adapt. Multimedia resources have become part of our daily routine at work and at home, and it is the role of medical educators to respond to the needs and demands of this new era. Educational tools have to become more practical, easily accessible, interactive and more specific to the needs of the learner. The delivery of educational content should move towards a more enjoyable and efficient process while maintaining quality and depth. The ACS Multimedia Atlas of Surgery was created to meet that need and the Pancreas Surgery Volume continues with that goal in mind.

As with the other ACS Multimedia Atlas of Surgery volumes, the authors of the chapters within this Pancreas Surgery Volume are not only leaders in their field but are, in several instances, the surgeons who developed or mastered the technique featured in their chapter. We are fortunate to count these surgical elite as contributors to this volume. We are also thankful for the significant amount of work and effort they have dedicated to this project.

This volume covers a broad spectrum of pancreatic surgical procedures, including both open and minimally-invasive techniques. Because of the variety of ways to approach the most complex procedures, a single procedure may be showcased in several chapters, highlighting alternative techniques. It is the intent that the reader will benefit from the tips and tricks of different experts in the field.

A project like this requires tremendous efforts from many individuals behind the scenes who deserve our considerable thanks and gratitude. We would like to extend to them our profound gratitude for their outstanding leadership, commitment, and willingness to share their expertise with others. The Editors are also grateful for the extensive support from Dr. Ajit K. Sachdeva, Director of the Division of Education of the American College of Surgeons.

A venture like this cannot be completed without the understanding and continual support of our families - support that is not new to this project, but has been present throughout our professional endeavors. Dr. Asbun would like to thank his wife, Ljubica, and his sons, Domenech and Derek, for their encouragement and enthusiasm on his professional adventures. Dr. Fuchshuber would like to thank his wife, Dr. Ann Chung, for her continued support and advice during the creation of this atlas.

It has been an honor and pleasure to be part of a project whose goal is to deliver high quality surgical education in an innovative, efficient and enjoyable manner.

Horacio J. Asbun, MD, FACS
Editor-in-Chief and Co-Editor
ACS Multimedia Atlas of Surgery: Pancreas Surgery Volume

Pascal R. Fuchshuber, MD, PhD, FACS
Co-Editor
ACS Multimedia Atlas of Surgery: Pancreas Surgery Volume

Table of Contents

1. Surgical Anatomy of the Pancreas
Alberto R. Ferreres, MD, PhD, MPH, FACS; Eduardo A. Pro, MD; Fernando Casal; Luis Alberto Carlo Lopolito, MD; Juan M. Verde, MD

2. Endoscopic Ultrasound of Pancreatic Lesions: Diagnosis and Treatment
Michael B. Wallace, MD, MPH; Muhammad K. Hasan, MD

3. Open Debridement for Acute Necrotizing Pancreatitis
Elisabeth T. Tracy, MD; Theodore N. Pappas, MD, FACS

4. Minimally Invasive Approaches to Acute Necrotizing Pancreatitis
Patrick S. Wolf, MD; Karen D. Horvath, MD, FACS

5. Open Cystogastrostomy for Pancreatic Pseudocyst
Pascal R. Fuchshuber, MD, PhD, FACS; Christopher Solis, MD, FACS; CK Chang, MD, FACS

6. Endoluminal Approaches to Pancreatic Pseudocyst
Mehrdad Nikfarjam, MD, PhD, FRACS; Jeffrey L. Ponsky, MD, FACS

7. Laparoscopic Management of Pancreatic Pseudocysts
Martín Palavecino, MD; Juan Pekolj, MD, PhD, FACS

8. Laparoscopic Lateral Pancreatojejunostomy for Chronic Pancreatitis
Horacio J. Asbun, MD, FACS; Steven P. Bowers, MD; Pascal R. Fuchshuber, MD, PhD, FACS

9. Hand-Assisted Laparoscopic Duodenum-Preserving Pancreatic Head Resection and Total Pancreatectomy
Dilip Parekh, MBBCh, FACS; Kaylene Berrera, MS

10. Duodenum-Preserving Subtotal and Total Resection of the Pancreatic Head
Hans Gunther Beger, MD, FACS; Steffen Gloekier, MD; Frank Gansauge, MD; Michael Schwarz, MD; Franz Poch; Bertram Poch, MD

11. Pancreatic Head Resection and Pancreaticojejunostomy for Chronic Pancreatitis
Howard A. Reber, MD, FACS; Jakob R. Izbicki, MD, FACS; Emre F. Yekebas, MD, FACS; Dana K. Andersen, MD, FACS; Christopher L. Wolfgang, MD, PhD, FACS; W. Scott Helton, MD, FACS; Charles F. Frey, MD, FACS

12. Open Surgical Approach to Islet Cell Tumors of the Pancreas
Courtney L. Scaife, MD; Sean J. Mulvihill, MD

13. Minimal-Access Approaches to Benign-Appearing Cystic Lesions of the Pancreas
Attila Nakeeb, MD, FACS

14. Surgery in the Treatment of Gastrinoma
E. Christopher Ellison, MD

15. Laparoscopic Management of Pancreatic Islet Cell Neoplasms
Quan-Yang Duh, MD, FACS; Insoo Suh, MD

16. Laparoscopic Distal Pancreatectomy
Catherine Hubert, MD; Jean-François Gigot, MD, PhD, FRCS

17. Laparoscopic Spleen-Preserving Distal Pancreatectomy (LSPDP)
Pedro A. Ferraina, MD, FACS; Anibal Ariel Ferraro, MD

18. Laparoscopic Robotically-Assisted Distal Pancreatic Resection with Splenectomy
Sebastian V. Demyttenaere, MD, MSc; W. Scott Melvin, MD, FACS

19. Results of RAMPS Procedure for Adenocarcinoma of the Body and Tail of the Pancreas
Steven M. Strasberg, MD, FACS

20. Laparoscopic Subtotal Pancreatectomy / Splenectomy
Horacio J. Asbun, MD, FACS and John A. Stauffer, MD

21. Central Pancreatectomy With Transgastric Pancreatogastrostomy
Carlos F. Fernández-del Castillo, MD, FACS

22. Laparoscopic Central Pancreatectomy With Pancreatogastrostomy
Nicholas O'Rourke, MBBS, FRACS

23. Pancreatic Enucleation / Resection of Uncinate Lesions
R. Matthew Walsh, MD, FACS

24. Laparoscopic Robotically-Assisted Resection of Ampullary Tumors
Horacio J. Asbun, MD, FACS; Murali N. Naidu, MD; Pascal R. Fuchshuber, MD, PhD, FACS

25. Rationale and Surgical Technique of Lymphadenectomy Associated With Duodenopancreatectomy for Pancreatic Head Carcinoma
Roberto Coppola, MD, FACS; Domenico Borzomati, MD, PhD, FACS; Sergio Valeri, MD; Alessandro Coppola, MD

26. Pancreaticoduodenectomy with Duct-to-Mucosa Pancreaticojejunostomy
Andrew L. Warshaw, MD, FACS; Carlos F. Fernández-del Castillo, MD, FACS

27. Pylorus-Preserving Pancreaticoduodenectomy With Invaginating Pancreaticojejunostomy
Harish Lavu, MD; Jennifer Brumbaugh, MD; Charles J. Yeo, MD, FACS

28. Technique of Pylorus-Preserving Pancreatioduodenectomy Using the Surgical Microscope for Pancreaticojejunostomy
L. William Traverso, MD, FACS

29. A Whipple Pancreaticoduodenectomy Associated With "en monobloc" Mesenterico-Portal Vein Resection
Philippe Bachellier, MD; Elie Housseau, MD; Daniel Jaeck, MD, PhD, FRCS

30. Laparoscopic Pancreaticoduodenectomy
Horacio J. Asbun, MD, FACS; John A. Stauffer, MD

31. Laparoscopic Pancreaticoduodenectomy With Gastrojejunostomy Reconstruction
Chinnusamy Palanivelu, MCh, FRCS, FACS

32. Laparoscopic Pancreaticoduodenectomy With Superior Mesenteric Artery Approach
Brice Gayet, MD, PhD; Zahra Shafaee, MD

33. Laparobotic Pancreatoduodenectomy: Caudad to Cephalad Approach
Anusak Yiengpruksawan, MD, FACS; Nino Carnevale, MD, FACS

34. Robotic-Assisted Laparoscopic Pancreaticoduodenectomy
Pier C. Giulianotti, MD, FACS; Francesco M. Bianco, MD; Fabio Sbrana, MD, FACS

35. Laparoscopic Total Pancreatectomy / Splenectomy
Horacio J. Asbun, MD, FACS; John Stauffer, MD

36. Laparoscopic Pancreas-Preserving Duodenectomy With Invaginating Pancreatojejunostomy and Gastrojejunostomy
Manpreet S. Grewal, MD; Horacio J. Asbun, MD, FACS; Pascal R. Fuchshuber, MD, PhD, FACS