TOTAL LAPAROSCOPIC DUODENOPANCREATECTOMY CASE REPORT

Total LaproscopicDuodenopancreatectomy (TLDP) was first done by Gagner in 1994 and considered a high complexity procedure. We present the first case published of TLDP done in Saudi Arabia according to our research in PubMed, Cochrane, Lilacs, and Bireme. A 35-year-old lady underwent successfully TLDP with surgery time of 480 minutes, no blood loss and 84h post op recovery. Surgical specimen showed ductal Adenocarcinoma of the head of pancreas, with invasion to the duodenum at the level of the ampulla, free margins and N0. Despite there is still no clear consensus of the advantage of TLDP over open duodenopancreatectomy, it provides faster recovery for the patients to start chemotherapy.