Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy
Background and purpose To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study. Operative procedure After dividing the upper jejunum, the jejunal artery (JA) is followed to its origin. At the cranial side of...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2021-08, Vol.51 (8), p.1410-1413 |
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| container_title | Surgery today (Tokyo, Japan) |
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| creator | Sakamoto, Katsunori Ogawa, Kohei Takai, Akihiro Tamura, Kei Shine, Mikiya Matsui, Takashi Nishi, Yusuke Utsunomiya, Takeshi Inoue, Hitoshi Matsuda, Seiji Takada, Yasutsugu |
| description | Background and purpose
To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study.
Operative procedure
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.
Conclusion
This left-side approach to the SMA may become a standard procedure. |
| doi_str_mv | 10.1007/s00595-021-02255-z |
| format | Article |
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To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study.
Operative procedure
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.
Conclusion
This left-side approach to the SMA may become a standard procedure.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-021-02255-z</identifier><identifier>PMID: 33638697</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Aged ; Cadaver ; Duodenum - blood supply ; How To Do It ; Humans ; Jejunum - blood supply ; Male ; Medicine ; Medicine & Public Health ; Mesenteric Artery, Superior - surgery ; Pancreas - blood supply ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy - education ; Pancreaticoduodenectomy - methods ; Surgery ; Surgical Oncology ; Treatment Outcome</subject><ispartof>Surgery today (Tokyo, Japan), 2021-08, Vol.51 (8), p.1410-1413</ispartof><rights>Springer Nature Singapore Pte Ltd. 2021</rights><rights>2021. Springer Nature Singapore Pte Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-ddcd2ef87410457cb00922344fa367cd394ae038dfd0e843cd2d7ab19df9bfb43</citedby><cites>FETCH-LOGICAL-c437t-ddcd2ef87410457cb00922344fa367cd394ae038dfd0e843cd2d7ab19df9bfb43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-021-02255-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-021-02255-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33638697$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakamoto, Katsunori</creatorcontrib><creatorcontrib>Ogawa, Kohei</creatorcontrib><creatorcontrib>Takai, Akihiro</creatorcontrib><creatorcontrib>Tamura, Kei</creatorcontrib><creatorcontrib>Shine, Mikiya</creatorcontrib><creatorcontrib>Matsui, Takashi</creatorcontrib><creatorcontrib>Nishi, Yusuke</creatorcontrib><creatorcontrib>Utsunomiya, Takeshi</creatorcontrib><creatorcontrib>Inoue, Hitoshi</creatorcontrib><creatorcontrib>Matsuda, Seiji</creatorcontrib><creatorcontrib>Takada, Yasutsugu</creatorcontrib><title>Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Background and purpose
To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study.
Operative procedure
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.
Conclusion
This left-side approach to the SMA may become a standard procedure.</description><subject>Aged</subject><subject>Cadaver</subject><subject>Duodenum - blood supply</subject><subject>How To Do It</subject><subject>Humans</subject><subject>Jejunum - blood supply</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesenteric Artery, Superior - surgery</subject><subject>Pancreas - blood supply</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy - education</subject><subject>Pancreaticoduodenectomy - methods</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtu3DAQRYnAhr1-_ECKgGUaOcOHHiyDRZwEWCCNXRMUOfRqIYkKSRW7Xx8666R0MZgpzlzMHEI-MnhgAO2XBFCrugLOSvG6rk4fyIZJ0VS8Y-KCbEBJVjGu2DW5SekAwGUHcEWuhWhE16h2Qw5PaPfzYM1IHWYzjIkGTw0d0ecqDQ6pWZYYjN3THGjeI03rgnEIkU6YcM5lttTE0o_UrXGYX-hiZhvR5MEGtwaHM9ocpuMdufRmTHj_1m_J8-O3p-2Pavfr-8_t111lpWhz5Zx1HH3XSgaybm0PoDgXUnojmtY6oaRBEJ3zDrCTotCuNT1Tzqve91Lcks_n3HL37xVT1tOQLI6jmTGsSXOppADe1byg_IzaGFKK6PUSh8nEo2agXx3rs2NdHOu_jvWpLH16y1_7Cd3_lX9SCyDOQFpefWDUh7DGufz8Xuwf9OKKlQ</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Sakamoto, Katsunori</creator><creator>Ogawa, Kohei</creator><creator>Takai, Akihiro</creator><creator>Tamura, Kei</creator><creator>Shine, Mikiya</creator><creator>Matsui, Takashi</creator><creator>Nishi, Yusuke</creator><creator>Utsunomiya, Takeshi</creator><creator>Inoue, Hitoshi</creator><creator>Matsuda, Seiji</creator><creator>Takada, Yasutsugu</creator><general>Springer Singapore</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210801</creationdate><title>Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy</title><author>Sakamoto, Katsunori ; Ogawa, Kohei ; Takai, Akihiro ; Tamura, Kei ; Shine, Mikiya ; Matsui, Takashi ; Nishi, Yusuke ; Utsunomiya, Takeshi ; Inoue, Hitoshi ; Matsuda, Seiji ; Takada, Yasutsugu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-ddcd2ef87410457cb00922344fa367cd394ae038dfd0e843cd2d7ab19df9bfb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Cadaver</topic><topic>Duodenum - blood supply</topic><topic>How To Do It</topic><topic>Humans</topic><topic>Jejunum - blood supply</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesenteric Artery, Superior - surgery</topic><topic>Pancreas - blood supply</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy - education</topic><topic>Pancreaticoduodenectomy - methods</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakamoto, Katsunori</creatorcontrib><creatorcontrib>Ogawa, Kohei</creatorcontrib><creatorcontrib>Takai, Akihiro</creatorcontrib><creatorcontrib>Tamura, Kei</creatorcontrib><creatorcontrib>Shine, Mikiya</creatorcontrib><creatorcontrib>Matsui, Takashi</creatorcontrib><creatorcontrib>Nishi, Yusuke</creatorcontrib><creatorcontrib>Utsunomiya, Takeshi</creatorcontrib><creatorcontrib>Inoue, Hitoshi</creatorcontrib><creatorcontrib>Matsuda, Seiji</creatorcontrib><creatorcontrib>Takada, Yasutsugu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakamoto, Katsunori</au><au>Ogawa, Kohei</au><au>Takai, Akihiro</au><au>Tamura, Kei</au><au>Shine, Mikiya</au><au>Matsui, Takashi</au><au>Nishi, Yusuke</au><au>Utsunomiya, Takeshi</au><au>Inoue, Hitoshi</au><au>Matsuda, Seiji</au><au>Takada, Yasutsugu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>51</volume><issue>8</issue><spage>1410</spage><epage>1413</epage><pages>1410-1413</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Background and purpose
To describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study.
Operative procedure
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.
Conclusion
This left-side approach to the SMA may become a standard procedure.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33638697</pmid><doi>10.1007/s00595-021-02255-z</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Cadaver Duodenum - blood supply How To Do It Humans Jejunum - blood supply Male Medicine Medicine & Public Health Mesenteric Artery, Superior - surgery Pancreas - blood supply Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - education Pancreaticoduodenectomy - methods Surgery Surgical Oncology Treatment Outcome |
| title | Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy |
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