Hind Right Approach Pancreaticoduodenectomy: From Skill to Indications
Hind right approach PD. Within the MP dissection, the SMA origin is detected in the angle between the left border of the IVC and the upper margin of the LRV. A RHA arising from the SMA is easily isolated 1-2 cm beneath SMA origin. The aberrant vessel is dissected upwards to the hepatic artery and preserved. The SMA is dissected along 4 cm towards the mesenteric root. CBD: common bile duct; D: duodenum; GDA: gastroduodenal artery; IVC: inferior vena cava; LRV: left renal vein; P: pancreas; SV: splenic vein; SMA: superior mesenteric artery; SMV: superior mesenteric vein.