{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:19:51Z","timestamp":1792653591895,"version":"4.5.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T00:00:00Z","timestamp":1563753600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T00:00:00Z","timestamp":1563753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1007\/s00464-019-06994-6","type":"journal-article","created":{"date-parts":[[2019,7,22]],"date-time":"2019-07-22T17:02:46Z","timestamp":1563814966000},"page":"4186-4191","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Follow \u201cthe superior mesenteric artery\u201d: laparoscopic approach for total mesopancreas excision during pancreaticoduodenectomy"],"prefix":"10.1007","volume":"33","author":[{"given":"Edouardo","family":"Morales","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Zimmitti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Codignola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Manzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Garatti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Sega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6948-155X","authenticated-orcid":false,"given":"Edoardo","family":"Rosso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,7,22]]},"reference":[{"key":"6994_CR1","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/j.ejso.2011.12.015","volume":"38","author":"M Adham","year":"2012","unstructured":"Adham M, Singhirunnusorn J (2012) Surgical technique and results of total mesopancreas excision (TMpE) in pancreatic tumors. EJSO 38:340\u2013345","journal-title":"EJSO"},{"issue":"4","key":"6994_CR2","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/MPA.0000000000000503","volume":"45","author":"G Nappo","year":"2016","unstructured":"Nappo G, Perinel J, El Bechwaty M, Adham M (2016) The standardization of pancreatoduodenectomy: where are we? Pancreas 45(4):493\u2013502","journal-title":"Pancreas"},{"key":"6994_CR3","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1001\/archsurg.133.3.297","volume":"133","author":"F Borghi","year":"1998","unstructured":"Borghi F, Gattolin A, Garbossa D, Bogliatto F, Garavoglia M, Levi AC (1998) Embryologic bases of extended radical resection in pancreatic cancer. Arch Surg 133:297\u2013301","journal-title":"Arch Surg"},{"key":"6994_CR4","first-page":"149","volume":"17","author":"E Kontis","year":"2016","unstructured":"Kontis E, Prassas E, Srinivasan P, Prachalias AA (2016) Extended lymphadenectomy and \u201cmesopancreas\u201d excision during pancreatoduodenectomy for cancer; is it worth it? Review of current evidence. J Pancreas 17:149\u2013153","journal-title":"J Pancreas"},{"issue":"4","key":"6994_CR5","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/j.hpb.2015.11.009","volume":"18","author":"JR Butler","year":"2016","unstructured":"Butler JR, Ahmad SA, Katz MH, Cioffi JL, Zyromski NJ (2016) A systematic review of the role of periadventitial dissection of the superior mesenteric artery in affecting margin status after pancreatoduodenectomy for pancreatic adenocarcinoma. HPB (Oxford) 18(4):305\u2013311","journal-title":"HPB (Oxford)"},{"issue":"10","key":"6994_CR6","doi-asserted-by":"publisher","first-page":"2865","DOI":"10.3748\/wjg.v21.i10.2865","volume":"21","author":"N Peparini","year":"2015","unstructured":"Peparini N (2015) Mesopancreas: a boundless structure, namely the rationale for dissection of the paraaortic area in pancreaticoduodenectomy for pancreatic head carcinoma. World J Gastroenterol 21(10):2865\u20132870","journal-title":"World J Gastroenterol"},{"key":"6994_CR7","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1002\/jhbp.402","volume":"23","author":"D Sharma","year":"2016","unstructured":"Sharma D, Isaji S (2016) Mesopancreas is a misnomer: time to correct the nomenclature. J Hepatobiliary Pancreat Sci 23:745\u2013749","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"6994_CR8","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1016\/j.ijsu.2013.08.009","volume":"11","author":"M Bouassida","year":"2013","unstructured":"Bouassida M, Mighri MM, Chtourou MF, Sassi S, Touinsi H, Hajji H, Sassi SM (2013) Retroportal lamina or mesopancreas? Lessons learned by anatomical and histological study of thirty three cadaveric dissections. Int J Surg 11:834\u2013836","journal-title":"Int J Surg"},{"key":"6994_CR9","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/1477-7819-5-44","volume":"5","author":"I Gockel","year":"2007","unstructured":"Gockel I, Domeyer M, Wolloscheck T, Konerding MA, Junginger T (2007) Resection of the mesopancreas (RMP): a new surgical classification of a known anatomical space. World J Surg Oncol 5:44","journal-title":"World J Surg Oncol"},{"key":"6994_CR10","doi-asserted-by":"publisher","first-page":"423","DOI":"10.21147\/j.issn.1000-9604.2016.04.05","volume":"28","author":"W Wu","year":"2016","unstructured":"Wu W, Wang X, Wu X (2016) Total mesopancreas excision for pancreatic head cancer: analysis of 120 cases. Chin J Cancer Res 28:423\u2013428","journal-title":"Chin J Cancer Res"},{"key":"6994_CR11","first-page":"216","volume":"18","author":"P Chirletti","year":"2017","unstructured":"Chirletti P, Caronna R (2017) Role of the total mesopancreas excision in the surgical radical treatment of pancreatic head cancer. J Pancreas 18:216","journal-title":"J Pancreas"},{"issue":"8","key":"6994_CR12","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1002\/bjs.8763","volume":"99","author":"P Sanjay","year":"2012","unstructured":"Sanjay P, Takaori K, Govil S, Shrikhande SV, Windsor JA (2012) \u2018Artery-first\u2019 approaches to pancreatoduodenectomy. Br J Surg 99(8):1027\u20131035","journal-title":"Br J Surg"},{"key":"6994_CR13","doi-asserted-by":"publisher","first-page":"E5","DOI":"10.1002\/jhbp.325","volume":"23","author":"HJ Asbun","year":"2016","unstructured":"Asbun HJ, Harada E, Stauffer JA (2016) Tips for laparoscopic pancreaticoduodenectomy. J Hepatobiliary Pancreat Sci 23:E5\u2013E9","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"6994_CR14","doi-asserted-by":"publisher","first-page":"1670","DOI":"10.1007\/s00464-015-4359-7","volume":"30","author":"G Zimmitti","year":"2015","unstructured":"Zimmitti G, Manzoni A, Addeo P, Garatti M, Zaniboni A, Bachellier P, Rosso E (2015) Laparoscopic pancreatoduodenectomy with superior mesenteric artery-first approach and pancreatogastrostomy assisted by mini-laparotomy. Surg Endosc 30:1670\u20131671","journal-title":"Surg Endosc"},{"key":"6994_CR15","first-page":"450","volume":"10","author":"JS Azagra","year":"2015","unstructured":"Azagra JS, Arru L, Est\u00e9vez S, Makkai-Popa ST, Poulain V, Goergen M (2015) Pure laparoscopic pancreatoduodenectomy with initial approach to the superior mesenteric artery. Wideochir Inne Tech Maloinwazyjne 10:450\u2013457","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"key":"6994_CR16","doi-asserted-by":"publisher","first-page":"E19","DOI":"10.1002\/jhbp.54","volume":"21","author":"A Cho","year":"2014","unstructured":"Cho A, Yamamoto H, Kainuma O (2014) Tips of laparoscopic pancreaticoduodenectomy: superior mesenteric artery first approach (with video). J Hepatobiliary Pancreat Sci 21:E19\u2013E21","journal-title":"J Hepatobiliary Pancreat Sci"},{"key":"6994_CR17","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1111\/j.1365-2559.2007.02935.x","volume":"52","author":"CS Verbeke","year":"2008","unstructured":"Verbeke CS (2008) Resection margins and R1 rates in pancreatic cancer\u2013are we there yet? Histopathology 52:787\u2013796","journal-title":"Histopathology"},{"issue":"5","key":"6994_CR18","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1007\/BF00642443","volume":"8","author":"M Gagner","year":"1994","unstructured":"Gagner M, Pomp A (1994) Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc 8(5):408\u2013410","journal-title":"Surg Endosc"},{"key":"6994_CR19","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1001\/archsurg.2009.243","volume":"145","author":"ML Kendrick","year":"2010","unstructured":"Kendrick ML, Cusati D (2010) Total laparoscopic pancreaticoduodenectomy: feasibility and outcome in an early experience. Arch Surg 145:19\u201323","journal-title":"Arch Surg"},{"key":"6994_CR20","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/j.surg.2013.09.003","volume":"155","author":"P Bachellier","year":"2014","unstructured":"Bachellier P, Rosso E, Fuchshuber P, Addeo P, David P, Oussoultzoglou E, Lucescu I (2014) Use of a temporary intraoperative mesentericoportal shunt for pancreatic resection for locally advanced pancreatic cancer with portal vein occlusion and portal hypertension. Surgery 155:449\u2013456","journal-title":"Surgery"},{"key":"6994_CR21","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.1007\/s00464-010-1421-3","volume":"25","author":"P Addeo","year":"2011","unstructured":"Addeo P, Marzano E, Rosso E, Pessaux P (2011) Hanging maneuver during pancreaticoduodenectomy: a technique to improve R0 resection. Surg Endosc 25:1697\u20131698","journal-title":"Surg Endosc"},{"key":"6994_CR22","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1016\/j.jamcollsurg.2010.03.026","volume":"211","author":"P Pessaux","year":"2010","unstructured":"Pessaux P, Marzano E, Rosso E (2010) A plea for the artery-first dissection during pancreaticoduodenectomy. J Am Coll Surg 211:142\u2013143","journal-title":"J Am Coll Surg"},{"issue":"3","key":"6994_CR23","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1007\/s12029-017-9933-x","volume":"49","author":"S Pal","year":"2018","unstructured":"Pal S, George J, Singh AN, Mathur S, Dash NR, Garg P, Sahni P, Chattopadhyay TK (2018) Posterior superior mesenteric artery (SMA) first approach vs. standard pancreaticoduodenectomy in patients with resectable periampullary cancers: a prospective comparison focusing on circumferential resection margins. J Gastrointest Cancer. 49(3):252\u2013259","journal-title":"J Gastrointest Cancer."},{"key":"6994_CR24","doi-asserted-by":"publisher","first-page":"7864","DOI":"10.3748\/wjg.v20.i24.7864","volume":"20","author":"ES Lee","year":"2014","unstructured":"Lee ES, Lee JM (2014) Imaging diagnosis of pancreatic cancer: a state-of-the-art review. World J Gastroenterol 20:7864\u20137877","journal-title":"World J Gastroenterol"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-019-06994-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00464-019-06994-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-019-06994-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T23:17:33Z","timestamp":1595287053000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00464-019-06994-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,22]]},"references-count":24,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["6994"],"URL":"https:\/\/doi.org\/10.1007\/s00464-019-06994-6","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,22]]},"assertion":[{"value":"6 March 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Edouardo Morales, Giuseppe Zimmitti, Claudio Codignola, Alberto Manzoni, Marco Garatti, Valentina Sega, and Edoardo Rosso have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}