Combined Inferior Vena Cava Resection during Pancreatoduodenectomy.
- Author:
Yang Won NAH
1
;
Sang Jun PARK
;
Je Ho YI
;
Sung Jo BANG
Author Information
1. Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Korea. nahyw@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Pancreas cancer;
Pancreatoduodenectomy;
Inferior vena cava
- MeSH:
Consensus;
Head and Neck Neoplasms;
Pancreas;
Pancreatic Neoplasms;
Pancreaticoduodenectomy;
Recurrence;
Vena Cava, Inferior
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2009;13(4):301-306
- CountryRepublic of Korea
- Language:English
-
Abstract:
There is no consensus for the surgical indications, as well as the surgical technique, for the treatment of inferior vena cava (IVC) invasion by pancreas head cancer. The authors experienced a case of pancreas head cancer invading the anterior wall of the IVC. We performed en bloc excision of the anterior wall of the IVC combined with pancreatoduodenectomy in this case under the assumption that only a margin-negative surgical resection could offer a chance for cure. Technically, the sequence of dissection and addressing the IVC at the end of dissection are considered to be important to secure the operative field surrounding the IVC and to achieve a margin-negative resection. There has been no recurrence up to now, 8 months after the extensive radical operation.
