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J Hepatobiliary Pancreat Sci · Mar 2012
Pancreatic dissection in the procedure of pancreaticoduodenectomy (with videos).
- Hiroki Yamaue, Masaji Tani, Manabu Kawai, Seiko Hirono, Ken-ichi Okada, and Motoki Miyazawa.
- Second Department of Surgery, Wakayama Medical University, Wakayama, Japan. yamaue-h@wakayama-med.ac.jp
- J Hepatobiliary Pancreat Sci. 2012 Mar 1;19(2):95-9.
AbstractThe procedure of pancreaticoduodenectomy consists of three parts: resection, lymph node dissection, and reconstruction. A transection of the pancreas is commonly performed after a maneuver of the pancreatic head, exposing of the portal vein or lymph node dissection, and it should be confirmed as a safe method for pancreatic transection for decreasing the incidence of pancreatic fistula. However, there are only a few clinical trials with high levels of evidence for pancreatic surgery. In this report, we discuss the following issues: dissection of peripancreatic tissue, exposing the portal vein, pancreatic transection, dissection of the right hemicircle of the peri-superior mesenteric artery including plexus and lymph nodes, and dissection of the pancreatic parenchyma.
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