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Takeshi Nishi
Department of Digestive and General Surgery, Shimane University, Shimane, Japan
Publications
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Short Communication
Minimally Invasive Distal Pancreatectomy for the Management of Left-Sided Pancreatic Cancer
Author(s): Yasunari Kawabata*, Takeshi Nishi and Yoshitsugu Tajima
Curative surgical resection is considered the most effective treatment option to achieve long–term survival in patients with pancreatic cancer. In performing a Distal Pancreatectomy (DP) for left–sided pancreatic cancer, there are two main approaches to dissection: proceeding from left to right and from right to left. The conventional DP procedure was the Standard Retrograde Pancreatosplenectomy (SRPS), with a left–to–right dissection, and then the radical antegrade Modular Pancreatosplenectomy (RAMPS), with a right–to–left dissection, was developed. A greater number of harvested lymph nodes and an increase in R0 resection have been achieved in RAMPS as compared to SRPS; however, oncological outcomes, including patient survival, are comparable in these procedures. Recently, Minimally Invasive Distal Pancreatectomy (MIDP) using laparoscopy for pancre.. View more»