title: The Mesenteric Approach in Pancreatoduodenectomy.
abstract: Isolated pancreatoduodenectomy (PD) is an ideal surgery for pancreatic head cancer. In cancer surgery, 'isolated' means en bloc resection using a non-touch isolation technique. I have been developing isolated PD for pancreatic cancer since 1981. In this operation, the most important and first step is to use a mesenteric approach instead of Kocher's maneuver. The precise surgical techniques of the mesenteric approach are introduced in this paper.
authors.affiliation: Professor Emeritus, Nagoya University, President Nagoya Central Hospital, Nagoya, Japan.
authors.forename: Akimasa
authors.initials: A
authors.lastname: Nakao
mesh_terms: D003238:Connective Tissue / Q000601:surgery; D004210:Dissection / Q000379:methods*; D006801:Humans; D008643:Mesentery / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011169:Portal Vein / Q000601:surgery