title: Pancreatic dissection in the procedure of pancreaticoduodenectomy (with videos).
abstract: The procedure of pancreaticoduodenectomy consists of three parts: resection, lymph node dissection, and reconstruction. A transection of the pancreas is commonly performed after a maneuver of the pancreatic head, exposing of the portal vein or lymph node dissection, and it should be confirmed as a safe method for pancreatic transection for decreasing the incidence of pancreatic fistula. However, there are only a few clinical trials with high levels of evidence for pancreatic surgery. In this report, we discuss the following issues: dissection of peripancreatic tissue, exposing the portal vein, pancreatic transection, dissection of the right hemicircle of the peri-superior mesenteric artery including plexus and lymph nodes, and dissection of the pancreatic parenchyma.
authors.affiliation: Second Department of Surgery, Wakayama Medical University, Wakayama, Japan. yamaue-h@wakayama-med.ac.jp
authors.forename: Hiroki
authors.initials: H
authors.lastname: Yamaue
authors.forename: Masaji
authors.initials: M
authors.lastname: Tani
authors.forename: Manabu
authors.initials: M
authors.lastname: Kawai
authors.forename: Seiko
authors.initials: S
authors.lastname: Hirono
authors.forename: Ken-ichi
authors.initials: K
authors.lastname: Okada
authors.forename: Motoki
authors.initials: M
authors.lastname: Miyazawa
mesh_terms: D004210:Dissection / Q000379:methods*; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*