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Chapter-02 Laparoscopic Pylorus-Preserving Pancreaticoduodenectomy

BOOK TITLE: Gastrointestinal Surgery Series: Pancreas and Hepatobiliary Surgery

Author
1. Honda Goro
ISBN
9789352702602
DOI
10.5005/jp/books/14149_3
Edition
1/e
Publishing Year
2018
Pages
10
Author Affiliations
1. Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan
Chapter keywords
Pancreaticoduodenectomy, PD, superior mesenteric vein, SMV, superior mesenteric artery, SMA, portal vein, PV, main pancreatic duct, MPD, inferior pancreaticoduodenal artery, IPDA

Abstract

Laparoscopic pancreaticoduodenectomy (PD) has been gradually accepted as one of the surgical method for the resection of pancreatic head lesions. However, high-level skill is required to perform it safely. One of the main reasons is the difficulty of dissecting the pancreatic head from the mesenteric vessels, that is, the superior mesenteric vein (SMV), the portal vein (PV) and the superior mesenteric artery (SMA), as well as the difficulty of pancreaticoenteric anastomosis. This chapter covers the operative procedures, procedures of resection, and procedures of reconstruction.

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