{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T03:57:05Z","timestamp":1767585425960,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"13","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012330","name":"Okayama University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012330","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The superior mesenteric artery (SMA)-first approach for pancreatic cancer (PC) is common surgical technique in pancreaticoduodenectomy. To date, few studies have reported SMA-first approach in robot-assisted pancreaticoduodenectomy (RPD). Herein, we present the anterior SMA-first approach for PC during RPD.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patient and Method<\/jats:title>\n                <jats:p>A 75-year-old man with resectable PC underwent RPD after neoadjuvant chemotherapy. As pancreatic head tumor contacted with the superior mesenteric vein (SMV), the anterior SMA approach was applied. After the mesenteric Kocher maneuver, the jejunum was divided and the left side of the SMA was dissected. Subsequently, the anterior plane of the SMA was dissected. Following the division of branches from the mesenteric vessels, the SMA was taped, and the circumferential dissection around the SMA was performed to detach the pancreatic neck from the SMA completely. Finally, the dissection between the SMV and the tumor was performed under vascular control to remove the specimen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The anterior SMA-first approach can be optional in patients with PC undergoing RPD. This unique approach allows for the circumferential dissection around the SMA during RPD.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1245\/s10434-024-16305-6","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T04:02:13Z","timestamp":1727668933000},"page":"8741-8743","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robot-Assisted Pancreaticoduodenectomy Using the Anterior Superior Mesenteric Artery-First Approach for Pancreatic Cancer"],"prefix":"10.1245","volume":"31","author":[{"given":"Kosei","family":"Takagi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomokazu","family":"Fuji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Yasui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motohiko","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeyoshi","family":"Nishiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuo","family":"Nagai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noriyuki","family":"Kanehira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiyoshi","family":"Fujiwara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"issue":"8","key":"16305_CR1","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. \u201cArtery-first\u201d approaches to pancreatoduodenectomy. Br J Surg. 2012;99(8):1027\u201335.","journal-title":"Br J Surg."},{"issue":"23","key":"16305_CR2","doi-asserted-by":"publisher","first-page":"7112","DOI":"10.3390\/jcm11237112","volume":"11","author":"K Takagi","year":"2022","unstructured":"Takagi K, Umeda Y, Yoshida R, Fuji T, Yasui K, Kimura J, et al. Surgical strategies to dissect around the superior mesenteric artery in robotic pancreatoduodenectomy. J Clin Med. 2022;11(23):7112.","journal-title":"J Clin Med."},{"issue":"6","key":"16305_CR3","doi-asserted-by":"publisher","first-page":"4112","DOI":"10.1245\/s10434-024-15181-4","volume":"31","author":"MS Bhandare","year":"2024","unstructured":"Bhandare MS, Varty GP, Chaudhari VA, Shrikhande SV. Robotic pancreaticoduodenectomy with \u201cSMA-first approach (posterior and right medial)\u201d and \u201ctriangle operation.\u201d Ann Surg Oncol. 2024;31(6):4112.","journal-title":"Ann Surg Oncol."},{"issue":"4","key":"16305_CR4","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1016\/j.gassur.2024.01.026","volume":"28","author":"K Takagi","year":"2024","unstructured":"Takagi K, Yamada M, Umeda Y. Innovative mesenteric Kocher maneuver during robotic pancreatoduodenectomy. J Gastrointest Surg. 2024;28(4):596\u20137.","journal-title":"J Gastrointest Surg."},{"issue":"1","key":"16305_CR5","first-page":"45","volume":"279","author":"M Abu Hilal","year":"2024","unstructured":"Abu Hilal M, van Ramshorst TME, Boggi U, Dokmak S, Edwin B, Keck T, et al. The Brescia internationally validated European guidelines on minimally invasive pancreatic surgery (EGUMIPS). Ann Surg. 2024;279(1):45\u201357.","journal-title":"Ann Surg."}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-024-16305-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-024-16305-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-024-16305-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T13:08:40Z","timestamp":1731071320000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-024-16305-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,27]]},"references-count":5,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["16305"],"URL":"https:\/\/doi.org\/10.1245\/s10434-024-16305-6","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"type":"print","value":"1068-9265"},{"type":"electronic","value":"1534-4681"}],"subject":[],"published":{"date-parts":[[2024,9,27]]},"assertion":[{"value":"24 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}},{"value":"Ethical approval was not required because this was a single report and not a trial or observational study. Written informed consent was obtained from the patient for the publication of this case report and the accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}