1. Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review
- Author
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Nagakawa, Yuichi, Watanabe, Yusuke, Kozono, Shingo, Boggi, Ugo, Palanivelu, Chinnusamy, Liu, Rong, Wang, Shin-E, Jin, He, Nishino, Hitoe, Ohtsuka, Takao, Ban, Daisuke, Nakata, Kohei, Endo, Itraru, Tsuchida, Akihiko, Nakamura, Masafumi, Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery): Mohammed Abu Hilal, Horacio, J Asbun, Ugo, Boggi, Brian K, P Goh, Goro, Honda, Jin-Young, Jang, Chang Moo Kang, David, A Kooby, Yoshiharu, Nakamura, Shailesh Vinayak Shrikhande, Chung-Ngai, Tang, Christopher, L Wolfgang, Anusak, Yiengpruksawan, Yoo-Seok, Yoon, Berardi, Giammauro, Ryota, Higuchi, Kyoichi, Takaori, Naoki, Ikenaga, Garbarino, GIOVANNI MARIA, Yoshiya, Ishikawa, Aya, Maekawa, Yoshiki, Murase, Giuseppe, Zimmitti, and Leon, Sakuma
- Subjects
artery-first approach ,laparoscopic pancreaticoduodenectomy ,minimally invasive pancreaticoduodenectomy ,robot-assisted pancreaticoduodenectomy ,superior mesenteric artery ,medicine.medical_specialty ,medicine.medical_treatment ,MEDLINE ,Pancreaticoduodenectomy ,03 medical and health sciences ,Pancreatectomy ,0302 clinical medicine ,Mesenteric Artery, Superior ,Superior ,medicine.artery ,medicine ,Humans ,Superior mesenteric artery ,Retrospective Studies ,Surgical approach ,Hepatology ,business.industry ,General surgery ,Retrospective cohort study ,Laparoscopy ,Pancreatic Neoplasms ,SMA ,Dissection ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Surgery ,business ,Mesenteric Artery ,Laparoscopic pancreaticoduodenectomy - Abstract
Background Minimally invasive pancreaticoduodenectomy (MIPD) has recently been safely performed by experts, and various methods for resection have been reported. This review summarizes the literature describing surgical approaches for MIPD. Methods A systematic literature search of PubMed (MEDLINE) was conducted for studies reporting robotic and laparoscopic pancreaticoduodenectomy; the reference lists of review articles were searched. Of 444 articles yielded, 23 manuscripts describing the surgical approach to dissect around the superior mesenteric artery (SMA), including hand-searched articles, were assessed. Results Various approaches to dissect around the SMA have been reported. These approaches were categorized according to the direction toward the SMA when initiating dissection around the SMA: anterior approach (two articles), posterior approach (four articles), right approach (16 articles), and left approach (three articles). Thus, many reports used the right approach. Most articles provided a technical description. Some articles showed the advantage of their method in a comparison study. However, these were single-center retrospective studies with a small sample size. Conclusions Various approaches for MIPD have been reported; however, few authors have reported the advantage of their methods compared to other methods. Further discussion is needed to clarify the appropriate surgical approach to the SMA during MIPD.
- Published
- 2021