PMC5198790_01
MRI scan showing a mass with solid and cystic components in the head of the pancreas.
gr1.jpg
PMC5198790_01_gr1.jpg
fig0005
There was no evidence of lymphadenopathy and vascular involvement (Fig. 1).
Positions of the ports.
gr2.jpg
PMC5198790_01_gr2.jpg
fig0010
The ports were inserted as shown in Fig. 2.
The long-sleeve-working-port. 1. retractor, 2. long sleeve, 3. Gloved hand of the surgeon, 4. ring put on the wrist of the surgeon, 4c. the groove of the ring for binding, 5. the terminal of the sleeve being bound on the ring, 6. the abdominal wall.
gr3.jpg
PMC5198790_01_gr3.jpg
fig0015
A ring was then put onto the surgeon's wrist to fix the long sleeve around the wrist (Fig. 3).
The surgeon's hand holding an ordinary needle holder of open surgery through the LSWP.
gr4.jpg
PMC5198790_01_gr4.jpg
fig0020
The surgeon can use any ordinary instrument used in open surgery to continue with the operation (Fig. 4).
A stent put across the pancreaticojejunostomy.
gr5.jpg
PMC5198790_01_gr5.jpg
fig0025
A transjejunal stent was inserted across the anastomosis (Fig. 5).