[Pure laparoscopic DP-CAR procedure with portal vein resection].

Autor:	Voskanyan SE; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Shabalin MV; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Artemiyev AI; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Kolyshev IY; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Bogoevich Z; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Kucherov NN; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Bashkov AN; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia., Naydenov EV; Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2019 (9), pp. 93-98.
DOI:	10.17116/hirurgia201909193
Abstrakt:	Objective: To improve short- and long-term outcomes of locally advanced pancreatic body-tail cancer followed by major vessels invasion. Material and Methods: A case report of pure laparoscopic DP-CAR procedure with portal vein resection for locally advanced pancreatic body-tail cancer followed by severe abdominal pain in a 49-year-old patient is presented. Results: Liver or stomach ischemia was not observed. Portal wall resection wasn't associated with any complication and resulted R0-resection. Postoperative period was complicated by Grade B pancreatic fistula. Preoperative abdominal pain completely disappeared after surgery. Surgery time was 330 min, intraoperative blood loss - 300 ml. The patient is currently undergoing FOLFIRINOX adjuvant chemotherapy. CT in 90 days after surgery confirmed no progression of disease or liver/stomach blood supply congestion. Conclusion: Modern technologies provide the opportunity to perform pure laparoscopic advanced surgical procedures with major vessels resection. Pure laparoscopic DP-CAR procedure with portal vein resection is effective and safe procedure that can be performed with all principles of open surgery and is associated with acceptable short- and long-term results.
Databáze:	MEDLINE
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