Indications and Pitfalls of the Modified Distal Pancreatectomy with Celiac Axis En Bloc Resection for Pancreatic Cancer

2017 ◽  
pp. 189-209
Author(s):  
Ken-ichi Okada ◽  
Hiroki Yamaue
Keyword(s):  
Pancreatic Cancer ◽  
Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Celiac Axis ◽  
En Bloc

Left-posterior approach for artery-first en bloc resection in laparoscopic distal pancreatectomy for left-sided pancreatic cancer

2020 ◽  
Vol 405 (8) ◽  
pp. 1251-1258
Author(s):  
Kazuyuki Nagai ◽  
Gozo Kiguchi ◽  
Akitada Yogo ◽  
Takayuki Anazawa ◽  
Shintaro Yagi ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Distal Pancreatectomy ◽  
Posterior Approach ◽  
Laparoscopic Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Left Posterior ◽  
Artery First

scholarly journals En Masse Resection of Pancreas, Spleen, Celiac Axis, Stomach, Kidney, Adrenal, and Colon for Invasive Pancreatic Corpus and Tail Tumor

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Koray Kutluturk ◽  
Abdul Hamid Alam ◽  
Cuneyt Kayaalp ◽  
Emrah Otan ◽  
Cemalettin Aydin
Keyword(s):  
Pancreatic Cancer ◽  
Pancreatic Tumor ◽  
Left Renal Vein ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Complete Resection ◽  
Celiac Axis ◽  
Left Adrenal Gland ◽  
En Bloc ◽  
Extensive Surgery

Providing a more comfortable life and a longer survival for pancreatic corpus/tail tumors without metastasis depends on the complete resection. Recently, distal pancreatectomy with celiac axis resection was reported as a feasible and favorable method in selected pancreatic corpus/tail tumors which had invaded the celiac axis. Additional organ resections to the celiac axis were rarely required, and when necessary it was included only a single extra organ resection such as adrenal or intestine. Here, we described a distal pancreatic tumor invading most of the neighboring organs—stomach, celiac axis, left renal vein, left adrenal gland, and splenic flexure were treated by en bloc resection of all these organs. The patient was a 60-year-old man without any severe medical comorbidities. Postoperative course of the patient was uneventful, and he was discharged on postoperative day eight without any complication. Histopathology and stage of the tumor were adenocarcinoma and T4 N1 M0, respectively. Preoperative back pain of the patient was completely relieved in the postoperative period. As a result, celiac axis resection for pancreatic cancer is an extensive surgery, and a combined en masse resection of the invaded neighboring organs is a more extensive surgery than the celiac axis resection alone. This more extensive surgery is safe and feasible for selected patients with pancreatic cancer.

scholarly journals Left Gastric Artery Reconstruction after Distal Pancreatectomy with Celiac Axis En-Bloc Resection: How We Do It

2017 ◽  
Vol 4 (1-2) ◽  
pp. 28-35 ◽  
Author(s):  
Ken-ichi Okada ◽  
Seiko Hirono ◽  
Manabu Kawai ◽  
Shinya Hayami ◽  
Shinichi Asamura ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Left Gastric Artery ◽  
Bloc Resection ◽  
Celiac Axis ◽  
Gastric Artery ◽  
En Bloc ◽  
Artery Reconstruction

scholarly journals Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Patrick H. Alizai ◽  
Andreas H. Mahnken ◽  
Christian D. Klink ◽  
Ulf P. Neumann ◽  
Karsten Junge
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Locally Advanced ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Common Hepatic Artery ◽  
Celiac Axis ◽  
Review Of The Literature ◽  
En Bloc ◽  
The Common

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.

Preservation of the Left Gastric Artery on the Basis of Anatomical Features in Patients Undergoing Distal Pancreatectomy with Celiac Axis En-bloc Resection (DP-CAR)

2014 ◽  
Vol 38 (11) ◽  
pp. 2980-2985 ◽  
Author(s):  
Ken-ichi Okada ◽  
Manabu Kawai ◽  
Masaji Tani ◽  
Seiko Hirono ◽  
Motoki Miyazawa ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Left Gastric Artery ◽  
Bloc Resection ◽  
Celiac Axis ◽  
Gastric Artery ◽  
En Bloc ◽  
Anatomical Features
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