Journal ArticleDOI
Superior mesenteric artery first combined with uncinate process approach versus uncinate process first approach in pancreatoduodenectomy: a comparative study evaluating perioperative outcomes.
Shailesh V. Shrikhande,Savio G. Barreto,Yashodhan D. Bodhankar,Kunal Suradkar,Guruprasad S. Shetty,Rohini Hawaldar,Mahesh Goel,Parul J. Shukla +7 more
TLDR
SMA first is a safe technique that compares well with the uncinate first approach in terms of operative time, blood loss, number of lymph nodes retrieved, margin positivity and operative morbidity.Abstract:
Purpose
During pancreatoduodenectomy (PD), two techniques have been described to dissect the head of pancreas, viz. the superior mesenteric artery (SMA) approach by dissecting the uncinate process and the uncinate process first approach.read more
Citations
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Journal ArticleDOI
'Artery-first' approaches to pancreatoduodenectomy.
P Sanjay,P Sanjay,Kyoichi Takaori,S Govil,Shailesh V. Shrikhande,John A. Windsor,John A. Windsor +6 more
TL;DR: The aim of this study was to review, and illustrate, this approach to pancreatoduodenectomy, and to promote the development of an ‘artery‐first’ approach.
Journal ArticleDOI
Pancreatoduodenectomy With Systematic Mesopancreas Dissection Using a Supracolic Anterior Artery-first Approach.
Yosuke Inoue,Akio Saiura,Ryuji Yoshioka,Yoshihiro Ono,Michiro Takahashi,Junichi Arita,Yu Takahashi,Rintaro Koga +7 more
TL;DR: SMD-PD using an SAA is feasible across PD cases, with acceptable short-term outcomes, and this procedure is proposed as a promising option for PD.
Journal ArticleDOI
Meta-analysis of an artery-first approach versus standard pancreatoduodenectomy on perioperative outcomes and survival
Natasha Ironside,Savio G. Barreto,Savio G. Barreto,Benjamin Loveday,Benjamin Loveday,Shailesh V. Shrikhande,John A. Windsor,John A. Windsor,Sanjay Pandanaboyana,Sanjay Pandanaboyana +9 more
TL;DR: The aim of this systematic review and meta‐analysis was to evaluate perioperative outcomes and survival in patients undergoing an artery‐first approach to pancreatoduodenectomy in comparison with those having standard pancreasectomy.
Journal ArticleDOI
Evolution of pancreatoduodenectomy in a tertiary cancer center in India: improved results from service reconfiguration.
Shailesh V. Shrikhande,Savio G. Barreto,B.A. Somashekar,Kunal Suradkar,Guruprasad S. Shetty,Sanjay Talole,Bhawna Sirohi,Mahesh Goel,Parul J. Shukla +8 more
TL;DR: Evolution of practice and perioperative management of PD for pancreatic cancer at a tertiary cancer center in India improvedPerioperative outcomes and helped sustain the improvements despite increasing surgical volume, as well as reducing overall morbidity rates.
Journal ArticleDOI
The importance of surgical margins in pancreatic cancer.
Cecilia G. Ethun,David A. Kooby +1 more
TL;DR: The influence of margin status in PDAC is controversial, as conflicting data have been plagued by a lack of standardization in margin definitions, pathologic analysis, and reporting.
References
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Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
TL;DR: The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
Journal ArticleDOI
Postoperative pancreatic fistula: an international study group (ISGPF) definition.
Claudio Bassi,Christos Dervenis,Giovanni Butturini,Abe Fingerhut,Charles J. Yeo,Jakob R. Izbicki,John P. Neoptolemos,Michael G. Sarr,William Traverso,M.W. Büchler +9 more
TL;DR: In this article, an international panel of pancreatic surgeons, working in well-known, high-volume centers, reviewed the literature on the topic and worked together to develop a simple, objective, reliable, and easy-to-apply definition of postoperative pancreatic fistula, graded primarily on clinical impact.
Special article Postoperative pancreatic fistula: An international study group (ISGPF) definition
Claudio Bassi,Christos Dervenis,Giovanni Butturini,Abe Fingerhut,Jakob R. Izbicki,John P. Neoptolemos,Michael G. Sarr,William Traverso,M.W. Büchler +8 more
TL;DR: The present definition and clinical grading of POPF should allow realistic comparisons of surgical experiences in the future when new techniques, new operations, or new pharmacologic agents that may impact surgical treatment of pancreatic disorders are addressed.
Journal ArticleDOI
Delayed gastric emptying (DGE) after pancreatic surgery: A suggested definition by the International Study Group of Pancreatic Surgery (ISGPS)
Moritz N. Wente,Claudio Bassi,Christos Dervenis,Abe Fingerhut,Dirk J. Gouma,Jakob R. Izbicki,John P. Neoptolemos,Robert Padbury,Michael G. Sarr,L. William Traverso,Charles J. Yeo,Markus W. Büchler +11 more
TL;DR: The International Study Group of Pancreatic Surgery (ISGPS) developed an objective and generally applicable definition with grades of delayed gastric emptying (DGE) based primarily on severity and clinical impact as discussed by the authors.
Journal ArticleDOI
Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition.
Moritz N. Wente,Johannes A. Veit,Claudio Bassi,Christos Dervenis,Abe Fingerhut,Dirk J. Gouma,Jakob R. Izbicki,John P. Neoptolemos,Robert Padbury,Michael G. Sarr,Charles J. Yeo,Markus W. Büchler +11 more
TL;DR: An objective, universally accepted definition and clinical grading of PPH is important for the appropriate management and use of interventions in PPH and would allow comparisons of results from future clinical trials.
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Maximilian Bockhorn,Faik G. Uzunoglu,Mustapha Adham,Clem W. Imrie,Miroslav Milicevic,Aken A. Sandberg,Horacio J. Asbun,Claudio Bassi,Markus W. Büchler,Richard Charnley,Kevin C. Conlon,Laureano Fernandez Cruz,Christos Dervenis,Abe Fingerhutt,Helmut Friess,Dirk J. Gouma,Werner Hartwig,Keith D. Lillemoe,Marco Montorsi,John P. Neoptolemos,Shailesh V. Shrikhande,Kyoichi Takaori,William Traverso,Yogesh K. Vashist,Charles M. Vollmer,Charles J. Yeo,Jakob R. Izbicki +26 more