Pancreas-sparing and superior mesenteric artery first approach in duodenal adenocarcinoma of the fourth portion of duodenum: A case report

Abstract

HighlightsAdenocarcinoma of the distal duodenum is uncommon with bad prognosis.Pancreas-sparing resection is preferred to avoid pancreatectomy-related morbi-mortality.The artery-first approach of the SMA should be considered by surgeons to early identify contra-indications to proceed during operation.The aim of surgery is R0 resection with 5-year survival between 25% and 75%.

Glutaraldehyde-fixed parietal peritoneum graft conduit to replace completely the portal vein during pancreaticoduodenectomy: A case report

“…During laparotomy, duodenum and right colon were extensively mobilized through a Kocher and Cattell-braasch maneuvers, respectively. A SMA first-approach [ 10 , 11 ] was realized as we do systematically during PD for PDAC. BR lesion as suspected by preoperative imaging vascular assessment was confirmed as a solid tumor contact with the SMA ≤180° was observed.…”