Fig. 4. (A) Intraoperative image showing a large cystic lesion (*) in the head of the pancreas. (B) Cyst exposure after the division of overlying gastrocolic omentum. The cyst has been isolated from the surrounding structures by roller gauze soaked in scolicidal agent (10% Povidone-iodine). (C) Cyst content is being aspirated in a controlled manner. (D) Cyst is being opened with an ultrasonic energy device in a controlled manner with 2 suction cannulas placed close by to contain spillage. (E) Cyst contents (* membrane) are being evacuated with a 10 mm suction cannula. (F) Partial cystopericystectomy is being performed using ultrasonic energy device. (G) Opened up cyst after partial cystopericystectomy. (H) Omentoplasty.

Ann Hepatobiliary Pancreat Surg 2022;26:401-6 https://doi.org/10.14701/ahbps.22-031

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