Variety of laparoscopic Whipple operation
1. Totally laparoscopic Whipple operation
In this approach, all the incisions are small, all the dissection and anastomosis are done by laparoscopic means.
This is a technically much more challenging operations and therefore only a few trained advanced laparoscopic surgeons can complete these a totally laparoscopic Whipple operation
2. Hand assisted laparoscopic Whipple operation
In this approach, all the dissections are done laparoscopically. When it come to performing the anastomosis, the surgeon make a large open incisions ( much bigger than the totally laparoscopic Whipple operation, but smaller than the classic open whipple operation)
Kaiser Permanente, South San Francisco experienced laparoscopic surgeons
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