Hepatic artery reconstruction after extended resection for borderline resectable pancreatic head cancer: A case report

被引：2

作者：

Brasoveanu, Vladislav ^{[1
,2
]}

Romanescu, Dragos ^{[3
]}

Diaconu, Camelia ^{[4
,5
]}

Iliescu, Laura ^{[4
,6
]}

Stiru, Ovidiu ^{[7
,8
]}

Brezean, Iulian ^{[9
,10
]}

Belu, Emil ^{[11
]}

Savu, Carmen ^{[12
]}

Savu, Cornel ^{[13
,14
]}

Bratu, Ovidiu ^{[15
,16
]}

Gorecki, Gabriel ^{[17
]}

Pop, Lucian ^{[18
]}

Balescu, Irina ^{[19
]}

Bacalbasa, Nicolae ^{[20
,21
,22
]}

机构：

[1] Fundeni Clin Inst, Dept Surg, Dan Setlacec Ctr Gastrointestinal Dis & Liver Tra, Bucharest 022328, Romania

[2] Titu Maiorescu Univ Med & Pharm, Dept Surg, Bucharest 040441, Romania

[3] Sanador Med Ctr, Dept Surg, Bucharest 011038, Romania

[4] Carol Davila Univ Med & Pharm, Dept Internal Med, Bucharest 020021, Romania

[5] Clin Emergency Hosp Bucharest, Dept Internal Med, Bucharest 105402, Romania

[6] Fundeni Clin Inst, Dept Internal Med, Bucharest 022328, Romania

[7] Carol Davila Univ Med & Pharm, Dept Cardiovasc Surg, Bucharest 020021, Romania

[8] Prof Dr CC Iliescu Emergency Inst Cardiovasc Dis, Dept Cardiovasc Surg, Bucharest 022322, Romania

[9] Carol Davila Univ Med & Pharm, Dept Surg, Bucharest 020021, Romania

[10] Dr I Cantacuzino Clin Hosp, Dept Surg, Bucharest 030167, Romania

[11] Prof Dr Al Trestioreanu Inst Oncol, Dept Oncol, Bucharest 022328, Romania

[12] Fundeni Clin Inst, Dept Anesthesiol, Bucharest 022328, Romania

[13] Carol Davila Univ Med & Pharm, Dept Thorac Surg, Bucharest 020021, Romania

[14] Marius Nasta Inst Pneumonol, Dept Thorac Surg, Bucharest 050159, Romania

[15] Carol Davila Univ Med & Pharm, Dept Urol, Bucharest 020021, Romania

[16] Acad Romanian Scientists, Emergency Cent Mil Hosp, Dept Urol, Bucharest 010825, Romania

[17] Ilfov Cty Emergency Hosp, Dept Anaesthesia & Intens Care, Bucharest 022104, Romania

[18] Alessandrescu Rusescu Natl Inst Mother & Child Hl, Fetal Med Excellence Res Ctr, Dept Obstet & Gynecol, Bucharest 020395, Romania

[19] Ponderas Acad Hosp, Dept Surg, Bucharest 021188, Romania

[20] Carol Davila Univ Med & Pharm, Dept Obstet & Gynecol, Bucharest 020021, Romania

[21] Fundeni Clin Inst, Ctr Excellence Translat Med, Dept Visceral Surg, Bucharest 022328, Romania

[22] Dr I Cantacuzino Clin Hosp, Dept Obstet & Gynecol, 5-7 Ion Movila St, Bucharest 030167, Romania

来源：

EXPERIMENTAL AND THERAPEUTIC MEDICINE | 2021年 / 21卷 / 01期

关键词：

hepatic artery reconstruction; portal vein reconstruction; pancreatoduodenectomy; pancreatic cancer; local invasion; arterial reconstruction; venous reconstruction; LONG-TERM SURVIVAL; SPLENIC ARTERY; EN-BLOC; PANCREATICODUODENECTOMY; ADENOCARCINOMA;

D O I：

10.3892/etm.2020.9518

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Pancreatic head cancer is frequently associated with invasion of the surrounding vascular structures, such cases being considered for a long period of time as unresectable. Improvement of the vascular surgery techniques allowed association of extended vascular resections and reconstructions, increasing in this way the percentage of patients benefiting from radical surgery. We present the case of a 47-year-old male patient with no significant medical history diagnosed with a large pancreatic head tumor invading the common and proper hepatic artery as well as the portal vein. The venous reconstruction was performed using a synthetic prosthesis while the left hepatic artery was sutured to the left gastric artery; meanwhile the right hepatic artery was reconstructed using the splenic artery. In conclusion, extended hepatic artery resection followed by arterial reconstruction in association with portal vein resection and prosthetic replacement might be needed in cases presenting large pancreatic head tumors with vascular invasion.

引用

页数：5

共 31 条

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