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World J Gastrointest Surg. Nov 27, 2021; 13(11): 1315-1326
Published online Nov 27, 2021. doi: 10.4240/wjgs.v13.i11.1315
Application and progress of medical imaging in total mesopancreas excision for pancreatic head carcinoma
Pei Feng, Bo Cheng, Zhen-Dong Wang, Jun-Gui Liu, Wei Fan, Heng Liu, Chao-Ying Qi, Jing-Jing Pan
Pei Feng, Wei Fan, Heng Liu, Chao-Ying Qi, Jing-Jing Pan, Department of Radiology, PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Bo Cheng, Department of Pathology, PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Zhen-Dong Wang, Department of Ultrasound, Beijing Sihui Hospital of Traditional Chinese Medicine, Beijing 100022, China
Jun-Gui Liu, Department of Hepatobiliary Surgery, PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
Author contributions: Feng P, Cheng B, Wang ZD, Liu JG and Pan JJ contributed guarantors of integrity of entire study; Cheng B and Pan JJ contributed study design; all authors contributed data acquisition and interpretation; Feng P, Cheng B, Wang ZD and Pan JJ contributed manuscript drafting and revision; all authors contributed literature research; all authors contributed approval of final version of submitted manuscript; all authors agree to ensure any questions related to the work are appropriately resolved; Feng P, Wang ZD, Liu JG and Pan JJ contributed manuscript editing.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Jing Pan, MD, Associate Chief Physician, Department of Radiology, PLA Rocket Force Characteristic Medical Center, No. 16 Xinwai Street, Beijing 100088, China. panjingjing3969@sina.com
Received: February 13, 2021
Peer-review started: February 13, 2021
First decision: May 4, 2021
Revised: May 11, 2021
Accepted: August 19, 2021
Article in press: August 19, 2021
Published online: November 27, 2021
Processing time: 286 Days and 15.8 Hours
Core Tip

Core tip: As a new concept of radical treatment for pancreatic head carcinoma, total mesopancreas excision requires removal of all tissues (including nerves, capillaries and lymph nodes) in the mesopancreas and has potential for achievement of R0 resection. Correspondingly, imaging evaluation should include all of the anatomical structures within the mesopancreas to achieve precise preoperative evaluation for surgical resection and meet the needs of postoperative follow-up.