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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 .
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Pancreaticoduodenectomy (PD) is the treatment of choice for malignant and several benign conditions of the pancreatic head and periampullary region [1–4].