Context Most of the pancreatic stents placed across pancreatojejunostomy at the time of Whipple procedure migrate spontaneously into the small bowel. Case report In this case series we present two patients with symptoms of abdominal pain, abnormal liver blood tests due to migration of pancreatic stents into the biliary tree through the choledochojejunostomy post Whipple surgery. Conclusion Thes...

Whipple is one of the most demanding and complex surgeries of the abdomen. It is the most commonly performed operation for pancreatic cancer, the fourth leading cause of cancer death in the United States. For patients with benign as well as malignant pancreatic tumors, it is believed that the robotic Whipple procedure will be a major improvement over the traditional procedure. The robotic surge...

BACKGROUND Pancreaticoduodenectomy is the procedure of choice for tumors of the head of the pancreas and periampulla. Despite advances in surgical technique and postoperative care, the procedure continues to carry a high morbidity rate. One of the most common morbidities is delayed gastric emptying with rates of 15%-40%. Following two prolonged cases of delayed gastric emptying, we altered our ...

BACKGROUND The pp-Whipple procedure requires extensive preparation. The conventional preparation technique is done with scissors for dissection and ligatures, and with clips and sutures for hemostasis. This procedure is very time-consuming and requires numerous changes of instruments. The LigaSure™ device allows dissection and hemostasis for preparation with one instrument. Up to now there has ...