Total pancreatectomy with islet auto-transplant - TVASurg

Case description

The patient was a 59 year old male diagnosed with chronic pancreatitis, suffering from severe pain and weight loss.
The patient was narcotic dependent, and had failed all previous medical treatments, including endoscopic stenting.
The pancreas was extremely atrophic with significant calcification.
The pancreatic duct presented with irregular narrowing.
A total pancreatectomy with splenectomy and islet auto-transplant prcedure was planned.
The proximal duodenum, proximal jejunum, and common bile duct will be divided.
Major vessels will be kept intact during the pancreas dissection, and not divided until right before the specimen removal.
Following removal, the pancreas was taken to the cell lab for pancreatic islet cell processing.
Purified islet cells were collected in an infusion bag, and infused through a portal vein catheter to take up residence in the liver.
Post-operatively the islets establish vascular connections in the liver sinusoid, and will start to produce and release insulin.