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Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy
- Source :
- Surgery today. 51(8)
- Publication Year :
- 2020
-
Abstract
- To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study. After dividing the upper jejunum, the jejunal artery (JA) is followed to its origin. At the cranial side of the JA, the mesojejunum to be dissected is detached from the ventral to the dorsal side and from the peripheral to the origin side of the SMA. The inferior pancreatoduodenal artery (IPDA), which is usually the common trunk of the IPDA and the first JA, is able to be visualized at the cranio-dorsal side of the origin of the JA. After cutting the IPDA, the mesojejunum can be detached from the SMA from the dorsal aspect to the right side. Subsequently, the pancreas head is dissected easily from the right aspect of the SMA. This left-side approach to the SMA may become a standard procedure.
- Subjects :
- Male
Duodenum
medicine.medical_treatment
030230 surgery
Pancreaticoduodenectomy
03 medical and health sciences
0302 clinical medicine
Cadaver
Mesenteric Artery, Superior
medicine.artery
Medicine
Humans
Superior mesenteric artery
Pancreas
Aged
business.industry
Inferior pancreaticoduodenal artery
Jejunal arteries
General Medicine
Anatomy
SMA
Pancreatic Neoplasms
medicine.anatomical_structure
Jejunum
Treatment Outcome
030220 oncology & carcinogenesis
Surgery
business
Cadaveric spasm
Artery
Subjects
Details
- ISSN :
- 14362813
- Volume :
- 51
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Surgery today
- Accession number :
- edsair.doi.dedup.....fb72560f192980f64c89957104cb4695