Whipple Procedure (Part I)
with extended right hepatectomy, right nephrectomy, and reconstruction of PV & IVC
00:15 SURGICAL PLANNING
10:49 ASSESSMENT OF SMV & PV
- A 27-year-old male presented with a sarcoma of the pancreas head that had engulfed the inferior vena cava and invaded the liver including segments I, VI and VII.
- The tumour also involved main portal vein, right hepatic artery, right renal artery and vein, and common bile duct.
- Obstruction of the IVC led to re-routing of venous blood flow to drain the common iliac veins via the ascending lumbar veins.
- The surgical plan was an extended right hepatectomy, resection of segments I, V, VI, VII, & VIII with a Whipple and right nephrectomy.
- The stomach and the proximal jejunum were divided, followed by transecting the pancreas to the left of the portal vein.
CT scans (Venous Phase)