A novel approach to small bowel tumors using artery-specific resections allows for effective lymphadenectomy while preserving bowel length, reporting no short-term mortality.

• In a study of 86 patients, standardized D3-volume lymphadenectomy coupled with tailored resections yielded a median lymph node harvest of 31, with D3 positivity in 33 cases.
• Vascular injuries occurred in 20 patients, and 11 required reoperation, indicating a need for caution in surgical planning.

This technique supports greater bowel preservation and may influence surgical strategies in managing small bowel tumors.