scholarly journals Pancreaticoduodenectomy with combined hepatic artery and portal vein resection after laparoscopic division of pancreaticosplenic ligament due to FOLFIRINOX-induced hepatic toxicity related secondary hypersplenism

2021 ◽  
Vol 25 (2) ◽  
pp. 307-312
Author(s):  
Ji Su Kim ◽  
Jeong Youp Park ◽  
Munseok Choi ◽  
Dong Jin Joo ◽  
Ho Kyoung Hwang ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Hepatic Toxicity ◽  
Portal Vein Resection ◽  
Vein Resection

scholarly journals Eight-Year Survival Following Left Hepatic Trisectionectomy With Combined Hepatic Artery And Portal Vein Resection For Advanced Perihilar Cholangiocarcinoma

2021 ◽  
Author(s):  
Haitham Triki ◽  
Heithem Jeddou ◽  
Stylianos Tzedakis ◽  
Dihia Belabbas ◽  
Solène Florence Kammerer-Jacquet ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Perihilar Cholangiocarcinoma ◽  
Portal Vein Resection ◽  
Extended Hepatectomy ◽  
Hepatic Artery Resection ◽  
Left Hepatic Trisectionectomy ◽  
Vein Resection ◽  
Left Trisectionectomy ◽  
Artery Resection

Abstract We report the case of a patient with exceptional survival over 8 years after left trisectionectomy combined with portal vein and hepatic artery resection and reconstruction for advanced perihilar cholangiocarcinoma. Such extended hepatectomy with vascular resection is the only way to obtain free tumor margin. It can be performed with acceptable morbidity and mortality and it is the only hope to prolong survival.

scholarly journals Extended Venous Resections for Borderline Resectable Pancreatic Head Adenocarcinoma—A Retrospective Studies of Nine Cases

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 978
Author(s):  
Nicolae Bacalbasa ◽  
Irina Balescu ◽  
Mihai Dimitriu ◽  
Cristian Balalau ◽  
Florentina Furtunescu ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Portal Vein ◽  
Radical Surgery ◽  
Portal Vein Resection ◽  
Resectable Pancreatic Cancer ◽  
Borderline Resectable ◽  
Venous Resection ◽  
Graft Thrombosis ◽  
Borderline Resectable Pancreatic Cancer ◽  
Vein Resection

Background: pancreatic cancer is one of the most lethal malignancies and a leading cause of cancer-related death worldwide. The only chance to improve the long-term outcomes of patients with pancreatic cancer is surgery with radical intent. Methods: in the present paper, we aim to describe a case series of 9 patients submitted to radical surgery for borderline resectable pancreatic cancer. Results: in all cases, negative resection margins were achieved. The types of venous resection consisted of tangential portal vein resection in four cases, circumferential portal vein resection with direct reanastomosis in one case and circumferential resection with graft placement in another four cases; postoperatively, one patient developed a vascular surgery-related complication consisting of graft thrombosis and thus necessitated prolonged anticoagulant therapy. Conclusions: extended venous resections can be a safe and efficient way to maximize the benefits of radical surgery in locally advanced, borderline resectable pancreatic cancer.

scholarly journals Significance of Simultaneous Splenic Artery Resection in Left-Sided Portal Hypertension After Pancreaticoduodenectomy with Combined Portal Vein Resection

2017 ◽  
Vol 41 (8) ◽  
pp. 2111-2120 ◽  
Author(s):  
Kazuyuki Gyoten ◽  
Shugo Mizuno ◽  
Motonori Nagata ◽  
Toru Ogura ◽  
Masanobu Usui ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Splenic Artery ◽  
Portal Vein Resection ◽  
Vein Resection ◽  
Artery Resection
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