Vladislav Brasoveanu1,2, Dragos Romanescu3, Ion Barbu1, Irina Balescu4, Nicolae Bacalbasa5,6,7. 1. Department of Visceral Surgery, Dan Setlacec Center of Gastrointestinal Diseases and Liver Transplantation, Fundeni Clinical Institute, Bucharest, Romania. 2. Titu Maiorescu University of Medicine and Pharmacy, Bucharest, Romania. 3. Department of Surgery, Sanador Medical Center, Bucharest, Romania. 4. Department of Surgery, Ponderas Academic Hospital, Bucharest, Romania irina.balescu@ponderas-ah.ro. 5. Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. 6. Department of Surgery, Center of Excellence in Translational Medicine, Fundeni Clinical Institute, Bucharest, Romania. 7. Department of Obstetrics and Gynecology, I. Cantacuzino Clinical Hospital, Bucharest, Romania.
Abstract
BACKGROUND/AIM: Pancreatic cancer is still associated with poor survival rates due to the fact that it is most often diagnosed at advanced stages of the disease when local invasion is present. However, improvements of surgical techniques have enabled extended resections with curative intent. We present the case of a 43-year-old patient diagnosed with locally invasive pancreatic adenocarcinoma invading the portal vein and the common hepatic artery. CASE REPORT: Surgery with curative intent consisting of pancreatoduodenectomy en bloc with hepatic artery resection and portal vein resection was successfully performed. The right hepatic artery was further anastomosed with the remaining common hepatic artery while the left hepatic artery was reconstructed using a reversed splenic artery patch. The continuity of the portal vein was re-established by placing a synthetic prosthesis. CONCLUSION: Combined arterial and venous resections might be useful in order to achieve a good local control of disease in patients with locally advanced pancreatic cancer. Copyright
BACKGROUND/AIM: Pancreatic cancer is still associated with poor survival rates due to the fact that it is most often diagnosed at advanced stages of the disease when local invasion is present. However, improvements of surgical techniques have enabled extended resections with curative intent. We present the case of a 43-year-old patient diagnosed with locally invasive pancreatic adenocarcinoma invading the portal vein and the common hepatic artery. CASE REPORT: Surgery with curative intent consisting of pancreatoduodenectomy en bloc with hepatic artery resection and portal vein resection was successfully performed. The right hepatic artery was further anastomosed with the remaining common hepatic artery while the left hepatic artery was reconstructed using a reversed splenic artery patch. The continuity of the portal vein was re-established by placing a synthetic prosthesis. CONCLUSION: Combined arterial and venous resections might be useful in order to achieve a good local control of disease in patients with locally advanced pancreatic cancer. Copyright
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