Annals of Surgical Oncology

, Volume 22, Supplement 3, pp 345–348 | Cite as

Laparoscopic Pancreaticoduodenectomy: Right Posterior Superior Mesenteric Artery “First” Approach

  • Gabriella PittauEmail author
  • Santiago Sànchez-Cabùs
  • Andrea Laurenzi
  • Maximiliano Gelli
  • Antonio Sa Cunha
Pancreatic Tumors


Pancreaticoduodenectomy (PD) is considered one of the most challenging abdominal operations for several reasons, including the anatomy, which is surrounded by vital vascular structures and also because of the serious complications that are possible in the postoperative period. Nowadays, thanks to the development of minimally invasive surgery and improvement of patients’ selection, laparoscopic pancreatic resections have been proven to be technically feasible and safe especially in the case of left pancreatectomies. More recently, many series of laparoscopic PD for adenocarcinoma have been published demonstrating the feasibility of this technique. In pancreatic cancer, the advantage of superior mesenteric artery “first approach” is already known to achieve an oncological resection. The purpose of this video is to describe the different technical aspects of the laparoscopic superior mesenteric artery first approach in the right posterior fashion.


Pancreatic Cancer Inferior Vena Cava Superior Mesenteric Artery Peritoneal Carcinomatosis Reduce Blood Loss 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Supplementary material 1 (MP4 1,14,234 kb)


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Copyright information

© Society of Surgical Oncology 2015

Authors and Affiliations

  • Gabriella Pittau
    • 1
    Email author
  • Santiago Sànchez-Cabùs
    • 2
  • Andrea Laurenzi
    • 1
  • Maximiliano Gelli
    • 1
  • Antonio Sa Cunha
    • 1
  1. 1.Centre Hépato-Biliaire Paul BrousseVillejuifFrance
  2. 2.HPB Surgery and Transplantation Department, Institut Clinic de Malalties Digestives i MetaboliquesHospital Clınic de BarcelonaBarcelonaSpain

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