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Pancreatic dissection in the procedure of pancreaticoduodenectomy (with videos)

  • Topics
  • Highly advanced surgery in the hepatobiliary and pancreatic field (Pancreatic Chapter)
  • Published:
Journal of Hepato-Biliary-Pancreatic Sciences

Abstract

The 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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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Second Department of Surgery, Wakayama Medical University, Wakayama, Japan

    Hiroki Yamaue, Masaji Tani, Manabu Kawai, Seiko Hirono, Ken-ichi Okada & Motoki Miyazawa

Authors
  1. Hiroki Yamaue
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  2. Masaji Tani
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  3. Manabu Kawai
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  4. Seiko Hirono
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  5. Ken-ichi Okada
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  6. Motoki Miyazawa
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Corresponding author

Correspondence to Hiroki Yamaue.

Additional information

This article is based on the studies first reported in Highly Advanced Surgery for Hepato-Biliary-Pancreatic Field (in Japanese). Tokyo: Igaku-Shoin, 2010.

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Yamaue, H., Tani, M., Kawai, M. et al. Pancreatic dissection in the procedure of pancreaticoduodenectomy (with videos). J Hepatobiliary Pancreat Sci 19, 95–99 (2012). https://doi.org/10.1007/s00534-011-0476-4

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  • DOI: https://doi.org/10.1007/s00534-011-0476-4

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