Chinese Journal of Clinical Oncology 2009;36(24):1424-1425,1429

doi:10.3969/j.issn.1000-8179.2009.24.013

Regional Pancreaticoduodenectomy with Superior Mesenteric Artery Resection for Pancreatic Carcinoma: Report of 2 Cases

Qiang LI ; Huikai LI ; Weidong MA ; Yunlong CUI ; Juan YU ; Xishan HAO

Keywords

Pancreatic carcinoma; Superior mesenteric artery (SMA); Radical surgery; Vascular reconstruction

Country

China

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.