Langenbecks Arch Surg (2017) 402:917–923 DOI 10.1007/s00423-017-1597-2 ORIGINAL ARTICLE Laparoscopic uncinate process first pancreatoduodenectomy—feasibility study of a modified ‘artery first’ approach to pancreatic head cancer 1,2 1,2 1,2 1,2 Michał Pędziwiatr & Magdalena Pisarska & Piotr Małczak & Piotr Major & 1 1 1 1 Mateusz Wierdak & Dorota Radkowiak & Jan Kulawik & Marcin Dembiński & 1,2 Andrzej Budzyński Received: 22 February 2017 /Accepted: 31 May 2017 /Published online: 11 July 2017 The Author(s) 2017. This article is an open access publication Abstract Conclusions Laparoscopic uncinate first approach is a feasi- Purpose The aim of this study was to discuss the feasibility of ble method for pancreatic head neoplasms. Achieved quality laparoscopic ‘uncinate first’ pancreatoduodenectomy. of the specimen is comparable with the traditional laparoscop- Methods The analysis included prospectively collected data ic approach, whereas intra- and postoperative course is not from 12 consecutive patients undergoing elective pure laparo- inferior. However, further studies on larger cohorts are re- scopic ‘uncinate process first’ pancreatoduodenectomy quired to fully establish whether the novel approach has po- (Group 1). They were compared with patients previously op- tential advantages over classical access in pancreatic head erated on with a classical laparoscopic approach (Group 2).
Langenbeck's Archives of Surgery – Springer Journals
Published: Jul 11, 2017
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