Superior Mesenteric Artery First Approach for Minimally Invasive Pancreaticoduodenectomy: A Step-By-Step Surgical Technique Video

Ielpo, Benedetto;Anselmo, Alessandro;Masuda, Yoshio;Xuan, Mark Yeo Hao;Burdio, Fernando;De Blasi, Vito;Sanchez-Velazquez, Patricia;Giuliani, Antonio;Azagra, Juan Santiago;Viola, Giuseppe Massimiliano;Podda, Mauro;Pellino, Gianluca;Rosso, Edoardo

2022-01-01

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Abstract

In the past decade, minimally invasive pancreaticoduodenectomy has been gaining interest. However, minimally invasive pancreaticoduodenectomy remains technically challenging and is associated with a steep learning curve. Additionally, the operating surgeon should be cognizant of replicating the same oncological steps as observed in the typical open approach. In view of this, there exist various maneuvers that are designed to achieve negative margins and a safer mesopancreatic dissection. One of these techniques is the superior mesenteric artery first approach, which is garnering interest among pancreatic surgeons.