FROM LEFT TO RIGHT. PARA-AORTIC LYMPH NODES SAMPLING DURING PANCREATODUODENECTOMY FOR PANCREATIC CANCER

BACKGROUND: Para-aortic lymph nodes involvement in pancreatic head cancer has UMO Racional: O tratamen o de esclha para pac entes com hipertensao portal been described as an independent adverse prognostic factor. To avoid futile pancreatic resection, e quistos omotica om sa gramento de varizes e a desconexao a igo portal mas we systematically perform para-aortic lymphadenectomy as a first step. AIMS: To describe our technique for para-aortic lymphadenectomy. METHODS: A 77-year-old female patient, with esplenec oma (DAPE) associada a trapia endosopica Porem, estudos mostram aumento jaundice and resectable pancreatic head adenocarcinoma, underwent pancreaticoduodenectomy do calbr das varizes em alguns pacientes durante o segumento em longo prazo. Objetivo: associate d with infracolic lymphadenectomy. RESULTS: The infracolic anterior technique has two Avliar o impacto da DAPE e tratamo endscopco pos-peratorio no compo tame to main advantages. It is faster and prevents the formation of postoperative adhesions, which can das varizes esofagicas e recidiva hemorragica de pacientes esquistossomoticos Metodos: make subsequent surgical interventions more difficult. CONCLUSIONS: We recommend systematic Foram estud dos 36 paci n es co seg ime to pe io a cinco a o dst ib idos em para-aortic lymphadenectomy as the first step of pancreaticoduodenectomy for pancreatic head adenocarcinoma by this approach.