Distal pancreatectomy with celiac axis resection (DP-CAR): Optimal perioperative outcome in a patient with locally advanced pancreas adenocarcinoma.
| Autor: | Tsiotos GG; Departments of Surgery, Mitera-Hygeia Hospitals, Athens, Greece. Electronic address: gregtsiotos@gmail.com., Ballian N; Departments of Surgery, Mitera-Hygeia Hospitals, Athens, Greece., Milas F; Departments of Surgery, Mitera-Hygeia Hospitals, Athens, Greece., Ziogou P; Departments of Surgery, Mitera-Hygeia Hospitals, Athens, Greece., Athanasiadis I; Medical Oncology, Mitera-Hygeia Hospitals, Athens, Greece. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of surgery case reports [Int J Surg Case Rep] 2020; Vol. 76, pp. 399-403. Date of Electronic Publication: 2020 Oct 02. |
| DOI: | 10.1016/j.ijscr.2020.09.194 |
| Abstrakt: | Introduction: Distal pancreatectomy with en bloc celiac axis resection (DP-CAR) is an operation technically demanding, uncommonly performed, even in high-volume pancreatic centers, which may offer a curative resection in patients with locally advanced cancer of the body of the pancreas, otherwise considered unresectable. Presentation of Case: We present, in clinical and technical detail, a patient with DP-CAR with a very good intraoperative and postoperative course, no complications, short hospital stay, and histology consistent with a curative resection. Discussion: Because of the scarcity of DP-CAR, even high-volume individual centers have been able to gather relatively limited experience, and only in a time frame of more than a decade each. Conclusion: DP-CAR can be curative for a minority of patients with pancreatic adenocarcinoma and is performed only in centers with a long, dedicated interest in advanced pancreatic surgery with a well-known track record in resection of borderline and locally advanced pancreatic cancer involving major peripancreatic veins. (Copyright © 2020. Published by Elsevier Ltd.) |
| Databáze: | MEDLINE |
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