{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:43:50Z","timestamp":1757313830464,"version":"3.38.0"},"reference-count":9,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since its first description in 1898, pancreaticoduodenectomy has constantly been improved, allowing increasingly more complex operations to be performed even with a minimally invasive approach: laparoscopic and, in recent years, robotic approach. In most cases, similarly to open surgery, parenchymal transection is performed after the creation of a retropancreatic tunnel to ensure adequate control of the mesenteric vessels before sectioning the parenchyma. Sometimes tunnelling can be very difficult even dangerous to achieve, due to conditions such as: vascular involvement by the neoplasm of superior mesenteric vein (SMV) or portal vein (PV); fibrosis secondary to acute pancreatitis (AP) or radiotherapy. In such conditions, it seems suitable to avoid tunnelling before parenchymal transection. We will describe how we perform the standard technique which we will call \u2018Tunnel First approach\u2019 (TF) and then our new \u2018Parenchyma Transection\u2010First\u2019 (PTF) approach in its two variants: \u2018bottom to top\u2019 and \u2018top to bottom\u2019.<\/jats:p>","DOI":"10.1111\/ans.19147","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T10:49:25Z","timestamp":1721904565000},"page":"1406-1408","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["How to do pancreatic transection during robotic pancreaticoduodenectomy. Is hanging manoeuvre always necessary?"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4720-3345","authenticated-orcid":false,"given":"Santino Antonio","family":"Biondo","sequence":"first","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1637-6796","authenticated-orcid":false,"given":"Tarek","family":"Kellil","sequence":"additional","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Amine","family":"Tormane","sequence":"additional","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celeste","family":"Del Basso","sequence":"additional","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Giampaoli","sequence":"additional","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tullio","family":"Piardi","sequence":"additional","affiliation":[{"name":"Department of Surgery HBP Unit, Simone Veil Hospital University of Reims Champagne\u2010Ardenne  Troyes France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"335","article-title":"Des pancreatectomy et specialement de la pancreatectomie cephalique","volume":"37","author":"Sauve L","year":"1908","journal-title":"Rev. Chir."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00642443"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.7.777"},{"key":"e_1_2_6_5_1","first-page":"60261","article-title":"Technical detail for robot assisted pancreaticoduodenectomy","volume":"151","author":"Kim AC","year":"2019","journal-title":"J. Vis. Exp."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.08.019"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01202-4"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-6003-1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.916014"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-023-01459-x"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.19147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T07:06:22Z","timestamp":1740985582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.19147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":9,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/ans.19147"],"URL":"https:\/\/doi.org\/10.1111\/ans.19147","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-04-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}