Identification of bile duct and pancreatic duct at transduodenal ampullary resection (open)

Traction sutures are placed circumferentially around the ampulla to facilitate excision of the ampullary tumor, following which the structures of common bile duct and pancreatic duct are identified and divided.

Modified from: Targarona Modena J, Rosamedina JL, Garatea R, et al. [Transduodenal ampullectomy: an useful alternative for the treatment of Vater's ampulla lesions. Case reports of an unfrecuent surgical technique]. Rev Gastroenterol Peru 2005; 25:106.

Graphic 103521 Version 2.0

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Identification of bile duct and pancreatic duct at transduodenal ampullary resection (open)