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Laparoscopic Radical Antegrade Modular Pancreatosplenectomy with Venous Tangential Resection: Focus on Periadventitial Dissection of the Superior Mesenteric Artery for Obtaining Negative Margin and a Safe Vascular Resection.

Edoardo RossoAlberto ManzoniGiuseppe ZimmittiValentina SegaElio TreppiediSara GiaccariClaudio CodignolaMarco Garatti
Published in: Annals of surgical oncology (2020)
During L-RAMPS, periadvential SMA dissection through the left-anterior approach, specular to the right posterior SMA approach described for laparoscopic pancreatoduodenectomy,5,6 has a primary role in maximizing the vascular surgical margin and, allowing for complete mobilization of the specimen before vein resection, may make a splenomesenteric junction tangential resection/closure easier and safer in case of tumor involvement of the splenomesenteric venous axis.
Keyphrases
  • robot assisted
  • minimally invasive
  • laparoscopic surgery