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
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author Kajiwara, Masatoshi
Nakashima, Ryo
Sasaki, Takahide
Naito, Shigetoshi
Hasegawa, Suguru
author_facet Kajiwara, Masatoshi
Nakashima, Ryo
Sasaki, Takahide
Naito, Shigetoshi
Hasegawa, Suguru
author_sort Kajiwara, Masatoshi
collection PubMed
description 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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spelling pubmed-93879402022-08-20 Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy Kajiwara, Masatoshi Nakashima, Ryo Sasaki, Takahide Naito, Shigetoshi Hasegawa, Suguru Cureus General Surgery 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. Cureus 2022-07-19 /pmc/articles/PMC9387940/ /pubmed/35989809 http://dx.doi.org/10.7759/cureus.27034 Text en Copyright © 2022, Kajiwara et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Kajiwara, Masatoshi
Nakashima, Ryo
Sasaki, Takahide
Naito, Shigetoshi
Hasegawa, Suguru
Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title_full Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title_fullStr Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title_full_unstemmed Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title_short Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy
title_sort dissection around the superior mesenteric artery (sma) using ligasure maryland during left posterior approach for pancreaticoduodenectomy
topic General Surgery
url 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
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