Superior Mesenteric Artery First Versus Standard Approach in Pancreaticoduodenectomy

Conditions

• Pancreatic Adenocarcinoma
• Pancreatic Head Cancer

Interventions

• PROCEDURE: SMA-first pancreaticoduodenectomy using either right posterior or anterior approach. SMA identified and isolated with peri-adventitial dissection before any irreversible section.
• PROCEDURE: Conventional pancreaticoduodenectomy without prior isolation of the SMA; antero-posterior approach of the uncinate process after pancreatic section.

Sponsor

Assistance Publique - Hôpitaux de Paris