Abstract
In 2006, the concept of Artery First Approach for pancreatic cancer surgery was first proposed by Pessaux et al. [1], then the method of Artery First Approach in pancreatoduodenectomy, which has been worldwide recognized, was proposed by Weitz in 2010 [2]. Many “Artery First Approach” have been reported currently, and the most classic of which called the posterior approach is put forward by Pessaux, namely expand Kocher incision firstly, then the free SMA including the lymphoid tissue and nerve plexus surrounding the artery are dissected at the root of the posterior SMA before the head of pancreas is anatomized, which can not only obviously increase the R0 resection rate of tumor, but also help making accurate judgment for arterial infringement cases in early stage, which avoids blindly expanding the operation range [3].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pessaux P, Varma D, Arnaud J. Pancreatoduodenectomy:superior mesenteric artery first approach. J Gastrointest Surg. 2006;10:607–11.
Weitz J, Rahbari N, Koch M, et al. The artery first approach for resection of pancreatic head cancer. J Am Coll Surg. 2010;210:e1–4.
Memeo R, De Blasi V, Perotto O, et al. Robotic lymphadenectomy during pancreatoduodenectomy with first superior mesenteric artery dissection. Ann Surg Oncol. 2016;23:968.
Shen YN, Guo CX, Pan Y, et al. Preoperative prediction of peripancreatic vein invasion by pancreatic head cancer. Cancer Imaging. 2018;18(1):49.
Jin G, Zheng KL, Guo SW, et al. Analysis on the clinical therapeutic effects of arterial first approach pancreatoduodenectomy in the treatment of borderline resectable pancreatic adenocarcinoma. Zhonghua Wai Ke Za Zhi. 2017;55(12):909–15.
Pessaux P, Rosso E, Panaro F, et al. Preliminary experience with the hanging maneuver for pancreaticoduodenectomy. Eur J Surg Oncol. 2009;35(9):1006–10.
Ironside N, Barreto SG, Loveday B, et al. Meta-analysis of an artery-first approach versus standard pancreatoduodenectomy on perioperative outcomes and survival. Br J Surg. 2018;105(6):628–36.
Sanjay P, Takaori K, Govil S, et al. ‘Artery-first’ approaches to pancreatoduodenectomy. Br J Surg. 2012;99:1027–35.
Choi SB, Han HJ, Park P, et al. Systematic review of the clinical significance of lymph node micrometastases of pancreaticadenocarcinoma following surgical resection. Pancreatology. 2017;17(3):342–9.
Wang M, Zhang H, Zhu F, et al. Pancreaticoduodenectomy for borderline resectable pancreatic head cancer with a modified artery-first approach technique. Hepatobiliary Pancreat Dis Int. 2017;16(2):215–21.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Liu, L., Liu, Fb. (2020). Pancreatoduodenectomy: Artery First Approach. In: Liu, Yb. (eds) Surgical Atlas of Pancreatic Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-32-9864-4_2
Download citation
DOI: https://doi.org/10.1007/978-981-32-9864-4_2
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-32-9863-7
Online ISBN: 978-981-32-9864-4
eBook Packages: MedicineMedicine (R0)