1. Pancreatoduodenectomy en bloc with portal and superior mesenteric artery resection--a case report and literature review
- Author
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Vladislav, Brasoveanu, Claudiu, Anghel, Ion, Barbu, Mihai, Pautov, Mihnea I, Ionescu, Manish, Motthor, Irina, Balescu, Simona, Dima, and Nicolae, Bacalbasa
- Subjects
Pancreatic Neoplasms ,Treatment Outcome ,Mesenteric Artery, Superior ,Humans ,Aged ,Pancreaticoduodenectomy - Abstract
Pancreatic cancer is one of the most lethal malignancies and is associated with a very poor overall survival. However, it seems that the only curative option remains an aggressive surgical approach capable of obtaining a radical resection. Unfortunately, this desiderate is even harder to be obtained when it comes to pancreatic tumors with vascular invasion.We present the case of a 65-year-old patient who was diagnosed with a cephalopancreatic tumor invading both the portal vein and the superior mesenteric artery.Whipple procedure was performed with portal and superior mesenteric artery resection; the continuity of the portal vein was established by an end-to-end anastomosis, while the superior mesenteric artery was re-implanted in the infra-renal aorta.Due to improvements of surgical techniques and postoperative management, the postoperative morbidity and early mortality significantly decreased and enabled the surgeon to perform ultra-radical surgery with better outcome.
- Published
- 2015