Journal
DIGESTIVE SURGERY
Volume 33, Issue 4, Pages 308-313Publisher
KARGER
DOI: 10.1159/000445014
Keywords
Mesenteric approach; Pancreatoduodenectomy; Pancreatic cancer; Artery first; Inferior pancreatoduodenal artery; Isolated pancreatoduodenectomy
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Isolated pancreatoduodenectomy (PD) is an ideal surgery for pancreatic head cancer. In cancer surgery, 'isolated' means en bloc resection using a non-touch isolation technique. I have been developing isolated PD for pancreatic cancer since 1981. In this operation, the most important and first step is to use a mesenteric approach instead of Kocher's maneuver. The precise surgical techniques of the mesenteric approach are introduced in this paper. (C) 2016 S. Karger AG, Basel.
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