The Surgical Anatomy of the Lymphatic System of the Pancreas
The lymphatic system of the pancreas is a complex, intricate network of lymphatic vessels and nodes responsible for the drainage of the head, neck, body,and tail of the pancreas. The aim of this article is to review the literature on the lymphatics of the pancreas, pancreatic pathologies,and the available imaging methodologies used to study the pancreatic lymphatics.
Pancreatoduodenectomy With Systematic Mesopancreas Dissection Using a Supracolic Anterior Artery-First Approach
The aim is to describe the details of the surgical technique of pancreatoduodenectomy (PD) with systematic mesopancreas dissection (SMD-PD), using a supracolic anterior artery-first approach. SMD-PD using an SAA is feasible across PD cases, with acceptable short-term outcomes, and we propose this procedure as a promising option for PD.
Resection of the mesopancreas (RMP): a new surgical classification of a known anatomical space
Prognosis after surgical therapy for pancreatic cancer is poor and has been attributed to early lymph node involvement as well as to a strong tendency of cancer cells to infiltrate into the retropancreatic tissue and to spread along the peripancreatic neural plexuses. The objective of our study was to classify the anatomical-surgical layer of the mesopancreas and to describe the surgical principles relevant for resection of the mesopancreas (RMP).