Regional Pancreaticoduodenectomy with Superior Mesenteric Artery Resection for Pancreatic Carcinoma: Report of 2 Cases
10.3969/j.issn.1000-8179.2009.24.013
- VernacularTitle:胰腺癌累及肠系膜上动脉外科手术切除的应用价值探讨
- Author:
Qiang LI
;
Huikai LI
;
Weidong MA
;
Yunlong CUI
;
Juan YU
;
Xishan HAO
- Publication Type:Journal Article
- Keywords:
Pancreatic carcinoma;
Superior mesenteric artery (SMA);
Radical surgery;
Vascular reconstruction
- From:
Chinese Journal of Clinical Oncology
2009;36(24):1424-1425,1429
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To discuss the surgical treatment of carcinoma of the pancreas with superior mesenteric artery (SMA) invasion. Methods: Vascular resection and reconstruction of the portal vein and hepatic artery were performed in 2 cases. Results: The portal vein (PV), superior mesenteric vein (SMV) and superior mesenteric artery (SMA) were involved. During surgery, the invaded superior mesenteric vessels were localized. Case 1 underwent pancreaticoduodenectomy with vascular resection, SMA partial resection and reconstruction. Case 2 was submitted to total pancreatic resection with simultaneous vascular resection of spleen artery and SMA reconstruction. No perioperative mortality occurred. Conclusion: Regional pancreaticoduodenectomy with superior mesenteric artery resection is a safe and effective surgical treatment for pancreatic carcinoma.
