Artery first approach to the superior mesenteric vessels in laparoscopic pancreaticoduodenectomy Yusuke OME 1 , Kazuki HASHIDA 1 , Mitsuru YOKOTA 1 , Yoshio NAGAHISA 1 , Michio OKABE 1 , Kazuyuki KAWAMOTO 1 1Department of Surgery, Kurashiki Central Hospital Keyword: 腹腔鏡下膵切除 , 膵頭十二指腸切除 , 動脈先行処理 pp.691-697
Published Date 2017/9/15
DOI https://doi.org/10.11477/mf.4426200461
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In pancreaticoduodenectomy, dissection of the uncus of the pancreas from the mesenteric vessels is the most difficult procedure. Therefore, various surgical approaches have been devised and adopted, even in open surgery. In laparoscopic pancreaticoduodenectomy(Lap-PD), we employ the artery first approach from the side where the jejunum originates because of the advantage of having magnified view from the caudal side. In the seven cases of Lap-PD by the artery first approach undertaken at our hospital, the median operative time, blood loss, and postoperative hospital stay were 526min, 24ml, and 20 days, respectively, and there were no life-threatening complications. We report our techniques for the artery first approach in Lap-PD.

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