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Our premium service is designed to help people fall in love all over the world.In nine patients with intraductal papillary mucinous neoplasms the pancreaticoduodenectomy was extended to the body in 6 and totalized in 3 patients.Seven patients with adenocarcinoma involving the portomesenteric axis required venous resection and reconstruction. Early hind right approach is advocated in selected cases of pancreaticoduodenectomy to improve locoregional vascular control and determine, safely and early, whether there is mesopancreas involvement.Standard PD is usually performed with transection of the pancreatic neck before the superior mesenteric artery (SMA) dissection [8–10].However, since the limited involvement of portomesenteric vein is no longer considered unresectable disease, the resectability is now assessed by whether or not the SMA is involved [11].

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