Volume 29, Issue 1 pp. 114-123
SYSTEMATIC REVIEW

Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review

Yuichi Nagakawa

Yuichi Nagakawa

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Yusuke Watanabe

Yusuke Watanabe

Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

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Shingo Kozono

Shingo Kozono

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Ugo Boggi

Ugo Boggi

Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy

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Chinnusamy Palanivelu

Chinnusamy Palanivelu

Division of Gastrointestinal Surgery and Minimal Access Surgery, GEM Hospital and Research Centre, Coimbatore, India

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Rong Liu

Rong Liu

Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China

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Shin-E Wang

Shin-E Wang

Department of Surgery, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan

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Jin He

Jin He

Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

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Hitoe Nishino

Hitoe Nishino

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Takao Ohtsuka

Takao Ohtsuka

First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan

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Daisuke Ban

Daisuke Ban

Department of Hepatobiliary and Pancreatic Surgery Division, National Cancer Center Hospital, Tokyo, Japan

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Kohei Nakata

Kohei Nakata

Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

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Itraru Endo

Itraru Endo

Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University Yokohama, Yokohama, Japan

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Akihiko Tsuchida

Akihiko Tsuchida

Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan

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Masafumi Nakamura

Corresponding Author

Masafumi Nakamura

Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

Correspondence

Masafumi Nakamura, Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan.

Email: [email protected]

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Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)

Study group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)

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First published: 01 February 2021
Citations: 26

Abstract

Background

Minimally invasive pancreaticoduodenectomy (MIPD) has recently been safely performed by experts, and various methods for resection have been reported. This review summarizes the literature describing surgical approaches for MIPD.

Methods

A systematic literature search of PubMed (MEDLINE) was conducted for studies reporting robotic and laparoscopic pancreaticoduodenectomy; the reference lists of review articles were searched. Of 444 articles yielded, 23 manuscripts describing the surgical approach to dissect around the superior mesenteric artery (SMA), including hand-searched articles, were assessed.

Results

Various approaches to dissect around the SMA have been reported. These approaches were categorized according to the direction toward the SMA when initiating dissection around the SMA: anterior approach (two articles), posterior approach (four articles), right approach (16 articles), and left approach (three articles). Thus, many reports used the right approach. Most articles provided a technical description. Some articles showed the advantage of their method in a comparison study. However, these were single-center retrospective studies with a small sample size.

Conclusions

Various approaches for MIPD have been reported; however, few authors have reported the advantage of their methods compared to other methods. Further discussion is needed to clarify the appropriate surgical approach to the SMA during MIPD.

CONFLICT OF INTEREST

None declared.

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