Ampullary Resection for Tumor



Ampullary Resection for Tumor







Exposure of Tumor (Fig. 68.1)


Technical and Anatomic Points

Gain access to the right upper quadrant through an extended right subcostal or midline incision, depending upon the habitus of the patient. Thoroughly explore the abdomen. If the gallbladder is still present, remove it. If an indwelling biliary stent was not placed, cannulate the cystic duct and pass a catheter down through the ampulla from above.

Perform a generous Kocher maneuver, and palpate the tumor and stent through the duodenal wall. Make a longitudinal duodenotomy over the mass. Place stay sutures to retract the duodenal walls.

Jul 22, 2016 | Posted by in GENERAL SURGERY | Comments Off on Ampullary Resection for Tumor

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