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首页> 外文期刊>Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract >Inframesocolic Superior Mesenteric Artery First Approach as an Introductory Procedure of Radical Antegrade Modular Pancreatosplenectomy for Carcinoma of the Pancreatic Body and Tail
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Inframesocolic Superior Mesenteric Artery First Approach as an Introductory Procedure of Radical Antegrade Modular Pancreatosplenectomy for Carcinoma of the Pancreatic Body and Tail

机译:帧内穿刺肠系膜上动脉的第一方法作为根治性联合模块化胰脾切除术治疗胰体和尾部癌的方法

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摘要

Superior mesenteric artery (SMA)-first approaches are operative tactics used to determine tumor resectability early during pancreatoduodenectomy. With locally advanced carcinoma of the pancreatic body and tail, early determination of SMA involvement also helps establish whether curative resection is feasible. During either radical antegrade modular pancreatosplenectomy (RAMPS) or classic left-to-right distal pancreatectomy, dissection of the SMA is performed after transection of the pancreas or wide detachment of the distal pancreas and spleen. Herein, we describe an inframesocolic SMA-first approach as an introductory procedure when treating carcinoma of the pancreatic body and tail. This first approach procedure provides a reliable and safe introduction to RAMPS.
机译:肠系膜上动脉(SMA)优先方法是在胰十二指肠切除术早期确定肿瘤可切除性的手术策略。对于胰腺癌和尾巴的局部晚期癌,及早发现SMA受累也有助于确定根治性切除是否可行。在根治性顺行模块化胰脾切除术(RAMPS)或经典的从左到右的远端胰腺切除术中,SMA的切除在胰腺横切或远端胰腺和脾脏广泛分离后进行。在这里,我们描述了一种框架内SMA优先治疗方法,作为治疗胰体和尾巴癌的入门方法。此第一种方法过程为RAMPS提供了可靠且安全的介绍。

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