Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy

R0 resection for pancreatic head cancer without exposing the tumor demands complete resection of “mesopancreas”. In other words, dividing the proximal jejunal artery and vein at their roots of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) respectively during pancreaticoduod...

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Detalles Bibliográficos
Autores principales: Kajiwara, Masatoshi, Nakashima, Ryo, Sasaki, Takahide, Naito, Shigetoshi, Hasegawa, Suguru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9387940/
https://www.ncbi.nlm.nih.gov/pubmed/35989809
http://dx.doi.org/10.7759/cureus.27034
Descripción
Sumario:R0 resection for pancreatic head cancer without exposing the tumor demands complete resection of “mesopancreas”. In other words, dividing the proximal jejunal artery and vein at their roots of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) respectively during pancreaticoduodenectomy (PD) is absolutely essential. We present here our standardized dissection procedures around the SMA during the left posterior approach for PD. This procedure is safe and reproducible owing to the secure sealing performance of LigaSure(TM) Maryland.

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