Distal Pancreatectomy En Bloc With Splenectomy, Celiac Axis and Portal Vein Resection Followed by Arterial Reconstruction Using a Cadaveric Graft – A Case Report and Literature Review
| Autor: | Vladislav Brasoveanu, Florin Ichim, Irina Balescu, Ion Barbu, Nicolae Bacalbasa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Endoscopic ultrasound
Cancer Research medicine.medical_specialty medicine.medical_treatment Splenectomy Malignancy General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Hepatic Artery Pancreatectomy Pancreatic tumor Celiac Artery Biopsy medicine Humans Pharmacology medicine.diagnostic_test business.industry Portal Vein Middle Aged Plastic Surgery Procedures medicine.disease Surgery Pancreatic Neoplasms medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Adenocarcinoma Female Cadaveric spasm business Artery Research Article |
| Zdroj: | In Vivo |
| Popis: | Background/Aim: Locally advanced pancreatic body tumors invading the celiac axis and the portal vein have been considered since long as unresectable lesions; however, due to improvement of surgical techniques, in certain cases surgery with curative intent might be taken in consideration. Case Report: We present the case of a 48-year-old female investigated for epigastric pain that was diagnosed with a locally invasive pancreatic body tumor. The patient was submitted to computed tomography which revealed the presence of a locally advanced pancreatic tumor with no demarcation line with the celiac axis and the portal vein. The endoscopic ultrasound raised the suspicion of malignancy and retrieved a biopsy which demonstrated the presence of a pancreatic adenocarcinoma. The patient was submitted to surgery, distal pancreatectomy en bloc with splenectomy, celiac axis and portal vein resection was performed; the hepatic artery was reconstructed by placing a cadaveric graft while the portal vein was sutured per primam by an end to end anastomosis. The postoperative outcome was favorable, and the patient was discharged in the 10(th )postoperative day. Conclusion: Multiple vascular resections followed by reconstructions might be needed in order to achieve resection with negative margins in patients with pancreatic body tumors. |
| Databáze: | OpenAIRE |
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