Laparoscopic Pancreaticoduodenectomy / Whipple of Duodenal GIST

This video was presented at International Hepatopancreatobiliary Association World Congress 2024 Cape Town South Africa.

• This case highlights a surgical removal of a duodenal Gastrointestinal stromal tumour(GIST). A duodenal GIST invading the pancreas is an uncommon tumour. Surgical resection is required as part of curative treatment.
• The technical difficulty in this case is the reconstruction of the pancreaticojejunostomy (pancreas to small intestine) where the soft pancreas and small pancreatic duct increases the risk of a joint leak. Note that Dr Thng uses a double handed technique to overcome angle limitations of laparoscopic surgery.
• The hepaticojejunostomy (bile duct to small intestine) was also performed in a small caliber bile duct. Note that Dr Thng uses an interrupted technique to reduce stricture/tightening of the joint.