关键词: Artery-first approach Laparoscopic pancreatoduodenectomy Minimally invasive Pancreatoduodenectomy Superior mesenteric artery

来  源:   DOI:10.1016/j.heliyon.2024.e27500   PDF(Pubmed)

Abstract:
UNASSIGNED: Laparoscopic pancreaticoduodenectomy (LPD) is a complicated surgical procedure that has recently been performed safely. A superior mesenteric artery (SMA)-first approach can allow complete mesopancreas resection, maximizing surgical margins and R0 resection rates. Therefore, the SMA-first approach is recommended. This review is a literature summary of recent updates of the SMA approaches for LPD and informs clinical practice of the advantages of its various approach.
UNASSIGNED: A systematic literature search was performed on the PubMed (MEDLINE) database using truncated word searches and medical subject headings to identify all pertinent published studies.
UNASSIGNED: After searching PubMed, 303 studies were identified and reviewed, of which 25 described the SMA-first approach, including the anterior, posterior, right, and left approaches, fully described in 5, 6, 13, and 6 articles, respectively.
UNASSIGNED: The SMA-first approach is the standard surgical technique for LPD. This review summarized each SMA-first approach\'s distinct advantages and indications.
摘要:
腹腔镜胰十二指肠切除术(LPD)是一项复杂的外科手术,最近已安全进行。肠系膜上动脉(SMA)-第一入路可以允许完整的中胰腺切除,最大限度地提高手术切缘和R0切除率。因此,建议采用SMA优先的方法。这篇综述是LPDSMA方法的最新进展的文献总结,并告知临床实践其各种方法的优势。
在PubMed(MEDLINE)数据库上进行了系统的文献检索,使用截断的单词检索和医学主题标题来识别所有相关的已发表的研究。
搜索PubMed后,对303项研究进行了鉴定和审查,其中25个描述了SMA-first方法,包括前部,后部,对,离开了方法,在5、6、13和6篇文章中充分描述,分别。
SMA-first方法是LPD的标准手术技术。这篇综述总结了每种SMA优先方法的独特优势和适应症。
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