Approaching the superior mesenteric artery from the right side using the proximal-dorsal jejunal vein preisolation method during laparoscopic pancreaticoduodenectomy

Surgical Endoscopy
Yuichi NagakawaAkihiko Tsuchida

Abstract

Although the artery-first approach is widely used in open pancreaticoduodenectomy, it is difficult to laparoscopically expose the origin of the inferior pancreaticoduodenal artery (IPDA) from the left side of the superior mesenteric artery (SMA). By contrast, damaging the inferior pancreaticoduodenal veins (IPDVs) is possible when approaching the IPDA from the right side of the SMA. To facilitate the artery-first approach in laparoscopic pancreaticoduodenectomy (LPD), we focused on the proximal-dorsal jejunal vein (PDJV) that branched from the superior mesenteric vein (SMV) dorsal side and drained the IPDVs. This study aimed to clarify the usefulness of the right SMA approach using the PDJV preisolation method. The PDJV was first isolated, and the IPDVs were divided along the PDJV on the right side of the SMA. Then, the IPDA was divided at the root without first separating the pancreatic head from the portal vein and the SMV. Overall, 21 patients underwent this approach, and the results were retrospectively compared with those of 21 patients who underwent the artery-first approach, which was performed on the left side of the SMA. Anatomical characteristics of the PDJV were evaluated using multidetector computed tomography for t...Continue Reading

References

Jul 31, 2007·Journal of the American College of Surgeons·Chinnasamy PalaniveluMadathupalayam Velusamy Madhankumar
Nov 28, 2007·Journal of Hepato-biliary-pancreatic Surgery·Akihiko HoriguchiShuichi Miyakawa
May 10, 2012·The British Journal of Surgery·P SanjayJ A Windsor
Sep 25, 2012·Journal of the American College of Surgeons·Horacio J Asbun, John A Stauffer
Oct 19, 2012·Journal of Gastroenterology·Masafumi NakamuraMasao Tanaka
Dec 7, 2013·Journal of Hepato-biliary-pancreatic Sciences·Akihiro ChoOsamu Kainuma
Mar 28, 2017·Journal of Hepato-biliary-pancreatic Sciences·Yoshiya IshikawaMinoru Tanabe

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Citations

Aug 29, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ayman El NakeebAmgad Zaghloul
Feb 2, 2021·Journal of Hepato-biliary-pancreatic Sciences·Yuichi NagakawaUNKNOWN Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Feb 3, 2021·Journal of Hepato-biliary-pancreatic Sciences·Hitoe NishinoUNKNOWN Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Feb 4, 2021·Journal of Hepato-biliary-pancreatic Sciences·Kohei NakataUNKNOWN Study Group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP Surgery)
Nov 17, 2021·Journal of Hepato-biliary-pancreatic Sciences·Yuichi NagakawaMasafumi Nakamura

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