Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery
Pancreatic body or tail cancer with invasion to major vessels, including the common hepatic artery and the celiac artery, was previously considered to be unresectable. However, an increasing number of surgeons have aggressively adopted distal pancreatectomy, splenectomy, and celiac axis resection (D...
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Wolters Kluwer Medknow Publications
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doaj-f18539f9390e480b83706fbe3f9127002020-11-24T23:01:23ZengWolters Kluwer Medknow PublicationsFormosan Journal of Surgery1682-606X2017-01-01501283110.4103/fjs.fjs_10_17Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac arteryShih-Chun ChangYu-Yin LiuTse-Ching ChenCheng-Huei TsengTa-Sen YehPancreatic body or tail cancer with invasion to major vessels, including the common hepatic artery and the celiac artery, was previously considered to be unresectable. However, an increasing number of surgeons have aggressively adopted distal pancreatectomy, splenectomy, and celiac axis resection (DP-CAR) in this scenario to attempt curative resection, thus improving long-term survival. In this paper, we present the case of a 45-year-old man with pancreatic body cancer invading the celiac axis who underwent DP-CAR with negative margins (R0) and subsequently exhibited an uneventful postoperative course. We also reviewed literature, which unequivocally demonstrates a comparable oncological outcome between pancreatic body or tail cancer with and without celiac artery resection. To the best of our knowledge, our study is the first documented case in which DP-CAR was successfully performed in Taiwan.http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=28;epage=31;aulast=ChangAppleby procedureceliac arterydistal pancreatectomypancreatic cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shih-Chun Chang Yu-Yin Liu Tse-Ching Chen Cheng-Huei Tseng Ta-Sen Yeh |
spellingShingle |
Shih-Chun Chang Yu-Yin Liu Tse-Ching Chen Cheng-Huei Tseng Ta-Sen Yeh Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery Formosan Journal of Surgery Appleby procedure celiac artery distal pancreatectomy pancreatic cancer |
author_facet |
Shih-Chun Chang Yu-Yin Liu Tse-Ching Chen Cheng-Huei Tseng Ta-Sen Yeh |
author_sort |
Shih-Chun Chang |
title |
Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
title_short |
Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
title_full |
Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
title_fullStr |
Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
title_full_unstemmed |
Distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
title_sort |
distal pancreatectomy and celiac axis resection for pancreatic body carcinoma involving celiac artery |
publisher |
Wolters Kluwer Medknow Publications |
series |
Formosan Journal of Surgery |
issn |
1682-606X |
publishDate |
2017-01-01 |
description |
Pancreatic body or tail cancer with invasion to major vessels, including the common hepatic artery and the celiac artery, was previously considered to be unresectable. However, an increasing number of surgeons have aggressively adopted distal pancreatectomy, splenectomy, and celiac axis resection (DP-CAR) in this scenario to attempt curative resection, thus improving long-term survival. In this paper, we present the case of a 45-year-old man with pancreatic body cancer invading the celiac axis who underwent DP-CAR with negative margins (R0) and subsequently exhibited an uneventful postoperative course. We also reviewed literature, which unequivocally demonstrates a comparable oncological outcome between pancreatic body or tail cancer with and without celiac artery resection. To the best of our knowledge, our study is the first documented case in which DP-CAR was successfully performed in Taiwan. |
topic |
Appleby procedure celiac artery distal pancreatectomy pancreatic cancer |
url |
http://www.e-fjs.org/article.asp?issn=1682-606X;year=2017;volume=50;issue=1;spage=28;epage=31;aulast=Chang |
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