The anatomic variant of the first jejunal branch of the superior mesenteric vein: Does it affect the surgical strategy in pancreatic head cancer? The anatomic variant of the first jejunal branch of the superior mesenteric vein

Main Article Content

Mehmet Akif Türkoğlu
Naciye Bozkurt
Murat Uçar

Abstract

Recenly, we routinely performed “mesenteric approach”, includes exposing the superior mesenteric vein (SMV) and superior mesenteric artery (SMA) from inframesocolic root and the dissection continued cranially for pancreatic head cancer. This technique facilitates early assessment of tumor resectability prior to the irreversible step. However, the dissection of inframesocolic SMV to allow for identification of the SMA is occasionally challenging due to the complex anatomic course of the first jejunal trunk in relation to the SMA. Herein, we draw attention to the anatomical variation of the first jejunal branch of the SMV and report which approach facilitates pancreaticoduodenectomy in the presence of this variation.

Article Details

Section
Case Report
Author Biographies

Mehmet Akif Türkoğlu, Akdeniz University School of Medicine

Department of General Surgery

Naciye Bozkurt

Department of General Surgery, Gazi University Faculty of Medicine, Ankara, Turkey

Murat Uçar

Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey