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Arterial Approach Distal Pancreatectomy
Yi Miao* Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
Survival outcome after standard distal pancreatectomy (DP) for left-sided pancreatic adenocarcinoma is poor, which may be attribute to both the disease nature and the surgical procedure. Accordingly, several efforts could be taken to deal with this problem. One of our practice is to adopt an arterial approach for DP, which emphasize the dissection of superior mesenteric artery (SMA) and celiac trunk (CT) in the early stage of the procedure, and also deepens the retroperitoneal dissection plane beyond the Gerota fascia. Our technique could provide the best chance to achieve a negative margin and lymph node clearance after DP, hence improving the survival of the patients.
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