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Background: Mesopancreas is the most common site for R1 resection and local recurrence. This study was designed to compare standard pancreatoduodenectomy (PD) versus posterior approach pancreatoduodenectomy PAPD in treating pancreatic head cancer. Methods: All patients underwent PD for pancreatic head cancers from January 2006 to December 2015 were evaluated. Patients were divided into two groups. Group A patients underwent standard PD and group B underwent PAPD. The primary outcome was post-

Comparative Study between Posterior Approach with Mesopancreatectomy versus Standard Approach in Pancreatoduodenectomy: A Case Control Study