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Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer : A Case Report and Review of the Literature
Joint Authors
Alizai, Patrick H.
Junge, Karsten
Neumann, Ulf P.
Klink, Christian D.
Mahnken, Andreas H.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Due to a lack of early symptoms, pancreatic cancers of the body and tail are discovered mostly at advanced stages.
These locally advanced cancers often involve the celiac axis or the common hepatic artery and are therefore declared unresectable.
The extended distal pancreatectomy with en bloc resection of the celiac artery may offer a chance of complete resection.
We present the case of a 48-year-old female with pancreatic body cancer invading the celiac axis.
The patient underwent laparoscopy to exclude hepatic and peritoneal metastasis.
Subsequently, a selective embolization of the common hepatic artery was performed to enlarge arterial flow to the hepatobiliary system and the stomach via the pancreatoduodenal arcades from the superior mesenteric artery.
Fifteen days after embolization, the extended distal pancreatectomy with splenectomy and en bloc resection of the celiac axis was carried out.
The postoperative course was uneventful, and complete tumor resection was achieved.
This case report and a review of the literature show the feasibility and safety of the extended distal pancreatectomy with en bloc resection of the celiac axis.
A preoperative embolization of the celiac axis may avoid ischemia-related complications of the stomach or the liver.
American Psychological Association (APA)
Alizai, Patrick H.& Mahnken, Andreas H.& Klink, Christian D.& Neumann, Ulf P.& Junge, Karsten. 2012. Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer : A Case Report and Review of the Literature. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-480179
Modern Language Association (MLA)
Alizai, Patrick H.…[et al.]. Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer : A Case Report and Review of the Literature. Case Reports in Medicine No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-480179
American Medical Association (AMA)
Alizai, Patrick H.& Mahnken, Andreas H.& Klink, Christian D.& Neumann, Ulf P.& Junge, Karsten. Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer : A Case Report and Review of the Literature. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-480179
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-480179