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St. Peter's Hospital succeeds in complex simultaneous gallbladder and distal pancreas resection

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St. Peter's Hospital succeeds in complex simultaneous gallbladder and distal pancreas resection

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Gangnam St. Peter's Hospital  26-02-10 18:18 

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St. Peter's Hospital (Director Yoon, Kangjun) announced on the 10th that Park Kwan-tae, Director of General Surgery at its Hepatobiliary-Pancreatic & Vascular Center, recently performed a simultaneous laparoscopic resection of the gallbladder and distal pancreas successfully.

The operation was performed on a patient in their 40s who came to the hospital with severe acute cholecystitis. While preparations for emergency surgery were under way, imaging revealed an additional cystic lesion about 2 cm in size in the tail of the pancreas, so both cholecystectomy and distal pancreatectomy were required.

For multiple abdominal lesions accompanying cholecystitis, it is usual to operate on the gallbladder first and carry out any further surgery separately. In this case, however, the medical team weighed the patient's general condition, the surgical burden and the possibility of later intestinal adhesions, and chose a strategy of simultaneous laparoscopic resection.

Park Kwan-tae, Director of General Surgery, explained, “Repeating surgery within a short period increases the physical burden, and adhesions can make further surgery even more difficult,” adding, “After discussion among the medical team, we decided on a treatment strategy of removing both lesions in a single operation.”

This operation was performed using the spleen-preserving approach, one of the most difficult in pancreatic resection. Distal pancreatectomy is a highly demanding operation that requires precise handling of the blood vessels around the pancreas and the adjacent organs, and the technique of preserving the splenic vessels calls for a high level of skill and teamwork. The medical team completed the operation successfully, safely maintaining the splenic vessels while resecting the pancreatic lesion.

The surgical route was also designed to minimize the placement of the ports used in laparoscopic surgery, focusing on reducing the extent of incisions and easing the recovery burden. The patient was discharged two days after surgery and, according to the hospital, has shown a stable recovery with no complications to date.

Director Park Kwan-tae, who performed the operation, is a specialist with more than 20 years of clinical experience in vascular and transplant surgery, having carried out over 10,000 vascular procedures including arteriovenous fistula creation and revision. He also has extensive experience across abdominal surgery, including laparoscopic hepatobiliary-pancreatic operations.

Since joining St. Peter's Hospital last November he has led the Hepatobiliary-Pancreatic & Vascular Center and driven advances in its abdominal surgery capabilities, continuing a series of highly demanding cases — most recently a cholecystectomy performed together with a successful intrahepatic hepaticojejunostomy to correct a biliary anomaly.

Park Kwan-tae, Director of General Surgery, said, “It is highly meaningful that we successfully completed a demanding simultaneous operation decided upon in light of the patient's condition,” adding, “Building on the specialist capabilities of the Hepatobiliary-Pancreatic & Vascular Center, we will continue to provide precise, safe care that puts patient recovery and safety first.”

Source: Medical Newspaper (http://www.bosa.co.kr)




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