‘Posterior (SMA‐first) Approach’ Versus ‘Standard Approach’ in Terms of Resection Margin and Long‐Term Survival After Pancreaticoduodenectomy for Periampullary and Pancreatic Carcinoma: A Randomized Trial

Abstract

SMA‐first‐approach in pancreaticooduodenectomy (PD) was found to be associated with better oncological outcomes as compared to the standard approach both in our pilot study and a few retrospective studies. Hence, we performed a randomized controlled trial to compare these two approaches in terms of resection margins, lymph node‐retrieval, and long‐term survival.