Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review
Yuichi Nagakawa
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorYusuke Watanabe
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorShingo Kozono
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorUgo Boggi
Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy
Search for more papers by this authorChinnusamy Palanivelu
Division of Gastrointestinal Surgery and Minimal Access Surgery, GEM Hospital and Research Centre, Coimbatore, India
Search for more papers by this authorRong Liu
Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China
Search for more papers by this authorShin-E Wang
Department of Surgery, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan
Search for more papers by this authorJin He
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Search for more papers by this authorHitoe Nishino
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorTakao Ohtsuka
First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan
Search for more papers by this authorDaisuke Ban
Department of Hepatobiliary and Pancreatic Surgery Division, National Cancer Center Hospital, Tokyo, Japan
Search for more papers by this authorKohei Nakata
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorItraru Endo
Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University Yokohama, Yokohama, Japan
Search for more papers by this authorAkihiko Tsuchida
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorStudy group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Search for more papers by this authorYuichi Nagakawa
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorYusuke Watanabe
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorShingo Kozono
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorUgo Boggi
Division of General and Transplant Surgery, Pisa University Hospital, Pisa, Italy
Search for more papers by this authorChinnusamy Palanivelu
Division of Gastrointestinal Surgery and Minimal Access Surgery, GEM Hospital and Research Centre, Coimbatore, India
Search for more papers by this authorRong Liu
Second Department of Hepatopancreatobiliary Surgery, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China
Search for more papers by this authorShin-E Wang
Department of Surgery, Taipei Veterans General Hospital and National Yang Ming University, Taipei, Taiwan
Search for more papers by this authorJin He
Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Search for more papers by this authorHitoe Nishino
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorTakao Ohtsuka
First Department of Surgery, Kagoshima University School of Medicine, Kagoshima, Japan
Search for more papers by this authorDaisuke Ban
Department of Hepatobiliary and Pancreatic Surgery Division, National Cancer Center Hospital, Tokyo, Japan
Search for more papers by this authorKohei Nakata
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Search for more papers by this authorItraru Endo
Department of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University Yokohama, Yokohama, Japan
Search for more papers by this authorAkihiko Tsuchida
Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University, Tokyo, Japan
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorStudy group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP surgery)
Search for more papers by this authorAbstract
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.
Supporting Information
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