Background: Whipple's procedure has been described by open surgery, as well as by laparoscopy. In the last decade, reduced port laparoscopic surgery has been introduced in order to improve the cosmetic outcomes and to reduce the trocars' complications. In this video the authors report a full laparoscopic Whipple's procedure, realizing the three anastomoses by intracorporeal handsewn technique using three trocars.

Video: A 57-year-old man presenting an adenocarcinoma of the pancreatic head, staged as cT1N0M0, underwent to a laparoscopic Whipple.

Results: Total operative time was 6h46 minutes, and operative bleeding was 600 cc. Postoperative course was uneventful and the patient was discharged on 9^thpostoperative day. Pathologic report confirmed a well differentiated pancreatico-biliary adenocarcinoma, with perinervous infiltration and lymphovascular emboli, free margins, 0 metastatic lymph nodes on 24 isolated, and 8° UICC edition stage: pT1cN0.

Conclusions: Laparoscopic Whipple remains an advanced procedure to be performed by laparoscopy, and in selected cases it can be realized using three trocars. Besides the other advantages of minimally invasive surgery, this technique can add a reduced trocar's morbidity and an improved patient's comfort.