Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy

Technical details of a left-side approach to the superior mesenteric artery during pancreaticoduodenectomy
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胰十二指肠切除术中肠系膜上动脉左侧入路的技术细节

DOI:
10.1007/s00595-021-02255-z
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发表时间:
2021
期刊:
影响因子:
2.5
通讯作者:
Takada Yasutsugu
Takada Yasutsugu
中科院分区:
医学4区
文献类型:
--
作者:
Sakamoto Katsunori;Ogawa Kohei;Takai Akihiro;Tamura Kei;Shine Mikiya;Matsui Takashi;Nishi Yusuke;Utsunomiya Takeshi;Inoue Hitoshi;Matsuda Seiji;Takada Yasutsugu

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背景和目的在身体研究中,描述了在胰腺十二指肠切除术(PD)中左侧进入肠系膜上动脉(SMA)的方法。手术步骤在分割上空肠后,遵循空肠动脉(JA)的起点。在JA的颅侧,分离的空肠系膜从SMA的腹侧到背侧,从外周到起始侧。胰十二指肠下动脉(IPDA)通常是IPDA和第一颈总动脉的共同主干,在颈总动脉起始部的颅背侧可见。切断IPDA后,空肠系膜可从SMA的背侧向右侧分离。随后,胰头容易地从SMA的右侧分离出来。结论这种左侧入路可能成为SMA的标准手术。
Background and purposeTo describe the procedure for a left-side approach to the superior mesenteric artery (SMA) during pancreaticoduodenectomy (PD) in a cadaveric study.Operative procedureAfter dividing the upper jejunum, the jejunal artery (JA) is followed to its origin. At the cranial side of the JA, the mesojejunum to be dissected is detached from the ventral to the dorsal side and from the peripheral to the origin side of the SMA. The inferior pancreatoduodenal artery (IPDA), which is usually the common trunk of the IPDA and the first JA, is able to be visualized at the cranio-dorsal side of the origin of the JA. After cutting the IPDA, the mesojejunum can be detached from the SMA from the dorsal aspect to the right side. Subsequently, the pancreas head is dissected easily from the right aspect of the SMA.ConclusionThis left-side approach to the SMA may become a standard procedure.
DOI: 10.1159/000445014
发表时间: 2016-01-01
期刊: DIGESTIVE SURGERY
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