1. Vascular reconstruction of locally advanced pancreatic cancer: Tricks of the trade.
- Author
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van Oosten, A.F., Al Efishat, M., Hasanain, A., Cameron, J.L., Burns, W.R., Burkhart, R.A., Weiss, M.J., Fishman, E.K., Laheru, D., Zheng, L., Narong, A., He, J., and Wolfgang, C.L.
- Subjects
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PANCREATIC cancer , *PANCREATECTOMY , *MESENTERIC veins , *HEPATIC artery , *ILIAC artery , *MESENTERIC artery - Abstract
B Presenter: b A. Floortje van Oosten MD | Johns Hopkins University School of Medicine B Background: b Improved systemic and radiation therapies administered as induction therapy have driven a trend of more aggressive operations in patients with locally advanced pancreatic ductal adenocarcinoma (PDAC) that was historically considered technically unresectable. Herein, we present a technical report describing our surgical experience of tumors considered locally advanced with long segment encasement of the superior mesenteric vein (SMV), celiac axis (CA), or the inferior pancreaticoduodenal artery (IPDA) or gastroduodenal artery (GDA) preluding distal pancreatectomy-celiac axis resection (DP-CAR). The option then remains to keep the mesocaval shunt and implant the other branch into the portal vein or to transpose the mesocaval shunt to the portal vein. [Extracted from the article]
- Published
- 2020
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