학술논문
Superior Mesenteric Artery First Approach for Minimally Invasive Pancreaticoduodenectomy: A Step-By-Step Surgical Technique Video.
Document Type
Academic Journal
Author
Ielpo B; Hepatobiliary and Pancreatic Surgery Unit, Hospital del Mar. Hospital del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, Barcelona, Spain. ielpo.b@gmail.com.; Anselmo A; HPB and Transplant Surgery Unit, Department of Surgery, Policlinico Tor Vergata, Rome, Italy.; Masuda Y; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Xuan MYH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Burdio F; Hepatobiliary and Pancreatic Surgery Unit, Hospital del Mar. Hospital del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, Barcelona, Spain.; De Blasi V; Service de Chirurgie Générale et Mini-Invasive ( Lapariscopie et Robotique), Centre Hospitalier de Luxembourg, Luxembourg City, Luxembourg.; Sanchez-Velazquez P; Hepatobiliary and Pancreatic Surgery Unit, Hospital del Mar. Hospital del Mar Medical Research Institute (IMIM), Universitat Pompeu Fabra, Barcelona, Spain.; Giuliani A; Unit of General and Emergency Surgery, San Carlo Hospital, Potenza, Italy.; Azagra JS; Service de Chirurgie Générale et Mini-Invasive ( Lapariscopie et Robotique), Centre Hospitalier de Luxembourg, Luxembourg City, Luxembourg.; Viola GM; Chirurgia Generale Azienda Ospedaliera Card.G.Panico, Tricase, Italy.; Podda M; Department of Surgical Science, University of Cagliari, Cagliari, Italy.; Pellino G; Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain.; Department of Advanced Medical and Surgical Sciences, Università Degli Studi Della Campania 'Luigi Vanvitelli', Naples, Italy.; Rosso E; Service de Chirurgie Générale et Mini-Invasive ( Lapariscopie et Robotique), Centre Hospitalier de Luxembourg, Luxembourg City, Luxembourg.
Source
Publisher: Springer Country of Publication: United States NLM ID: 9420840 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1534-4681 (Electronic) Linking ISSN: 10689265 NLM ISO Abbreviation: Ann Surg Oncol Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: In the past decade, minimally invasive pancreaticoduodenectomy has been gaining interest. However, minimally invasive pancreaticoduodenectomy remains technically challenging and is associated with a steep learning curve. Additionally, the operating surgeon should be cognizant of replicating the same oncological steps as observed in the typical open approach. In view of this, there exist various maneuvers that are designed to achieve negative margins and a safer mesopancreatic dissection. One of these techniques is the superior mesenteric artery first approach, which is garnering interest among pancreatic surgeons.
Material and Methods: According to existing literature, there are several superior mesenteric artery dissections approaches. We describes 5 different minimally invasive approaches.
Results: This multimedia manuscript provide, for the first time in literature, a comprehensive step-by-step overview of the superior mesenteric artery first approach for minimally invasive pancreaticoduodenectomy by a team of expert surgeons from various international institutions.
Conclusions: Through the tips and indications presented in this article, we aim to guide the choice of this approach according to tumor location, type of minimally invasive approach and the operating surgeon's experience and increase familiarity with such a complex procedure.
(© 2022. Society of Surgical Oncology.)
Material and Methods: According to existing literature, there are several superior mesenteric artery dissections approaches. We describes 5 different minimally invasive approaches.
Results: This multimedia manuscript provide, for the first time in literature, a comprehensive step-by-step overview of the superior mesenteric artery first approach for minimally invasive pancreaticoduodenectomy by a team of expert surgeons from various international institutions.
Conclusions: Through the tips and indications presented in this article, we aim to guide the choice of this approach according to tumor location, type of minimally invasive approach and the operating surgeon's experience and increase familiarity with such a complex procedure.
(© 2022. Society of Surgical Oncology.)