A novel cranial-to-caudal approach (CC approach) for minimally invasive distal pancreatectomy (MIDP) in pancreatic cancer was examined. The study included 94 patients, with 23 undergoing the CC approach. This approach aimed to identify Gerota’s fascia from the cranial side of the pancreas and ensure complete tumor removal. Results revealed similar operation times, blood loss, and complication rates between the CC and non-CC groups. Notably, all CC approach patients achieved R0 resection. The study suggests the CC approach may become a standard for left-sided pancreatic cancer surgeries.
Journal Article by Nakata K, Abe T (…) Nakamura M et 7 al. in Surg Endosc
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