Pancreatoduodenectomy: Total Mesopancreas Excision Approach
In 2012, Adham et al.  firstly described the application of Total Mesopancreas Excision (TMpE) Approach (Figs. 1.1 and 1.2), for the carcinoma of head of pancreas, which was based on the concept of total mesorectal excision . They defined the contents in the region for the excision to be formed by the superior mesenteric vein, portal vein, superior mesenteric artery, and celiac trunk of the aorta, and they called this region as the “mesopancreas triangle.” Totally 52 patients using the posterior approach of total mesopancreas excision (TMpE) for pancreatic head cancer were reported by them with a very high R0 resection rate of 80.7%, and the 5-year survival rate was significantly improved .
- 3.Liu YB, Quan ZW, Peng SY. The idea and controversy of total mesopancreas excision (TMpE) in pancreatic head tumors. Zhongguo Shi Yong Wai Ke Za Zhi (in Chinese). 2013;33:856–8.Google Scholar
- 4.Wu WG, Wu XS, Li ML, et al. Total mesopancreas excision (TMpE) for pancreatic head tumors with 75 cases report. Zhongguo Shi Yong Wai Ke Za Zhi (in Chinese). 2013;33:859–62.Google Scholar