What do surgeons need to know about the mesopancreas
| Autor: | Jose Maria A Moraes-Junior, Eduardo Fernandes, O. Strobel, Orlando Jorge M Torres, Camila Liberato Girão |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
030230 surgery Superior mesenteric vessels Pancreaticoduodenectomy 03 medical and health sciences 0302 clinical medicine Mesenteric Artery Superior medicine.artery medicine Humans Superior mesenteric artery Pancreas Surgeons Common hepatic artery business.industry Nerve plexus medicine.disease Pancreatic Neoplasms medicine.anatomical_structure Cardiothoracic surgery 030220 oncology & carcinogenesis Resection margin Adenocarcinoma Surgery Radiology business |
| Zdroj: | Langenbeck's archives of surgery. 406(8) |
| ISSN: | 1435-2451 |
| Popis: | Pancreatoduodenectomy is the only treatment with a promise of cure for patients with pancreatic head adenocarcinoma, and a negative resection margin is an important factor related to overall survival. Complete clearance of the medial margin with removal of the so-called mesopancreas may decrease the recurrence rate after pancreatic resection. Here, we present some important information about the mesopancreas, total mesopancreas excision, and technical aspects to achieve negative resection margins. The area named mesopancreas is defined as the tissue located between the head of the pancreas and the superior mesenteric vessels and the celiac axis and consists of the nerve plexus, lymphatic tissue, and connective tissue. The superior mesenteric and celiac arteries define the border of the mesopancreas. En bloc resection of anterior and posterior pancreatoduodenal nodes, hepatoduodenal nodes, along the superior mesenteric artery nodes, pyloric nodes, and nodes along the common hepatic artery is necessary. Improved knowledge of the surgical anatomy of the region and technical refinements of excision of the mesopancreas along with standardized pathological examination are important to increase and to determine radical resection of pancreatic head cancer. |
| Databáze: | OpenAIRE |
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