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Dissection Around the Superior Mesenteric Artery (SMA) Using LigaSure Maryland During Left Posterior Approach for Pancreaticoduodenectomy.

作者信息

Kajiwara Masatoshi, Nakashima Ryo, Sasaki Takahide, Naito Shigetoshi, Hasegawa Suguru

机构信息

Gastroenterological Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, JPN.

出版信息

Cureus. 2022 Jul 19;14(7):e27034. doi: 10.7759/cureus.27034. eCollection 2022 Jul.

DOI:10.7759/cureus.27034
PMID:35989809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387940/
Abstract

R0 resection for pancreatic head cancer without exposing the tumor demands complete resection of "mesopancreas". In other words, dividing the proximal jejunal artery and vein at their roots of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) respectively during pancreaticoduodenectomy (PD) is absolutely essential. We present here our standardized dissection procedures around the SMA during the left posterior approach for PD. This procedure is safe and reproducible owing to the secure sealing performance of LigaSure Maryland.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/4cf91d1d4c16/cureus-0014-00000027034-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/4a746e0e00f8/cureus-0014-00000027034-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/8e9d9e7367db/cureus-0014-00000027034-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/3696ebf19699/cureus-0014-00000027034-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/bb5fdb2dab50/cureus-0014-00000027034-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/a316ae0c8870/cureus-0014-00000027034-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/abc5c67c83da/cureus-0014-00000027034-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/108bc86ae391/cureus-0014-00000027034-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/1086de6870f8/cureus-0014-00000027034-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/4cf91d1d4c16/cureus-0014-00000027034-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/4a746e0e00f8/cureus-0014-00000027034-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/8e9d9e7367db/cureus-0014-00000027034-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/3696ebf19699/cureus-0014-00000027034-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/bb5fdb2dab50/cureus-0014-00000027034-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/a316ae0c8870/cureus-0014-00000027034-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/abc5c67c83da/cureus-0014-00000027034-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/108bc86ae391/cureus-0014-00000027034-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/1086de6870f8/cureus-0014-00000027034-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8623/9387940/4cf91d1d4c16/cureus-0014-00000027034-i09.jpg

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本文引用的文献

1
Anatomical Study of the Duodenojejunal Uncinate Process Vein: A Key Landmark for Mesopancreatoduodenal Resection During Pancreaticoduodenectomy.十二指肠空肠钩突静脉的解剖学研究：胰十二指肠切除术中胰十二指肠系膜切除的关键标志
Ann Gastroenterol Surg. 2021 Oct 12;6(2):288-295. doi: 10.1002/ags3.12518. eCollection 2022 Mar.
2
Cancer statistics, 2022.癌症统计数据，2022 年。
CA Cancer J Clin. 2022 Jan;72(1):7-33. doi: 10.3322/caac.21708. Epub 2022 Jan 12.
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Enhanced recovery after pancreatic surgery: A prospective randomized controlled clinical trial.
胰腺手术后加速康复：一项前瞻性随机对照临床试验。
J Surg Oncol. 2021 Dec;124(7):1070-1076. doi: 10.1002/jso.26614. Epub 2021 Jul 20.
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Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020：全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
5
Repeated partial tissue bite with inadequate cooling time for an energy device may cause thermal injury.反复使用能量设备时，若组织部分咬口且冷却时间不足，可能导致热损伤。
Surg Endosc. 2021 Jun;35(6):3189-3198. doi: 10.1007/s00464-021-08322-3. Epub 2021 Feb 1.
6
The Impact of Positive Resection Margins on Survival and Recurrence Following Resection and Adjuvant Chemotherapy for Pancreatic Ductal Adenocarcinoma.阳性切缘对胰导管腺癌切除和辅助化疗后生存及复发的影响。
Ann Surg. 2019 Mar;269(3):520-529. doi: 10.1097/SLA.0000000000002557.
7
R0 Versus R1 Resection Matters after Pancreaticoduodenectomy, and Less after Distal or Total Pancreatectomy for Pancreatic Cancer.胰十二指肠切除术（PD）后，R0 与 R1 切除的结果有差异，而对于胰腺癌行胰远端或全胰切除术时，这种差异较小。
Ann Surg. 2018 Dec;268(6):1058-1068. doi: 10.1097/SLA.0000000000002345.
8
Surgical pitfalls of jejunal vein anatomy in pancreaticoduodenectomy.胰十二指肠切除术中空肠静脉解剖的手术陷阱
J Hepatobiliary Pancreat Sci. 2017 Jul;24(7):394-400. doi: 10.1002/jhbp.451. Epub 2017 May 3.
9
Mesopancreas: a boundless structure, namely R1 risk in pancreaticoduodenectomy for pancreatic head carcinoma.胰系膜：一个无边无际的结构，即胰头癌胰十二指肠切除术的 R1 风险。
Eur J Surg Oncol. 2013 Dec;39(12):1303-8. doi: 10.1016/j.ejso.2013.10.012. Epub 2013 Oct 25.
10
Safety and efficacy of LigaSure usage in pancreaticoduodenectomy.LigaSure 在胰十二指肠切除术中的安全性和有效性。
HPB (Oxford). 2013 Oct;15(10):747-52. doi: 10.1111/hpb.12116. Epub 2013 Jun 19.