A new anatomical landmark, the perinephric vein, enhances access to the left renal vein during minimally invasive distal pancreatectomy (MIDP) for pancreatic cancer. In a cohort of 114 patients, 63.2% with pancreatic ductal adenocarcinoma showed the vein could help secure the posterior surgical margin, improving overall surgical precision. Of those, 92% had visible perinephric veins, and over half presented the vein as a critical landmark for safe surgical access.
Journal Article by Shimane G, Ono Y (…) Takahashi Y et 4 al. in Surg Endosc
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