Abdominal aortic aneurysm repair after pancreaticoduodenectomy

Deiparine, Michael K.; Prian, Gregory W.; Koep, Lawrence J.

doi:10.1016/s0741-5214(95)70299-7

Cited by 7 publications

(11 citation statements)

References 17 publications

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“…Second, mutual interference between the two conditions is undeniable because of the proximity of the pancreas to the aorta. Deiparine advocated division of the retroperitoneal dissection procedure: right-sided dissection for PD and left-sided dissection for abdominal aortic bypass 10 . The last is the severity of the postoperative complications after pancreatectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, reports of treatment of concomitant AAA and pancreas tumors are very rare. 10,11 There are three main reasons for this rarity. The first is that pancreatic cancer has a poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

“…There are few operative indications for this type of neoplasia, and reported cases have shown a poor prognosis. 4,10 When pancreatic cancer and AAA are simultaneously present, pancreatectomy is first recommended, including determination of the stage of the cancer. 10 Second, mutual interference between the two conditions is undeniable because of the proximity of the pancreas to the aorta.…”

Section: Discussionmentioning

confidence: 99%

“… 4,10 When pancreatic cancer and AAA are simultaneously present, pancreatectomy is first recommended, including determination of the stage of the cancer. 10 Second, mutual interference between the two conditions is undeniable because of the proximity of the pancreas to the aorta. Deiparine advocated division of the retroperitoneal dissection procedure: right-sided dissection for PD and left-sided dissection for abdominal aortic bypass.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm

Kawaguchi

Ishikawa

Shimada

et al. 2013

International Journal of Surgery Case Reports

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INTRODUCTIONMost gastroenterological surgeries, even pancreatic surgery, can now be performed laparoscopically. However, the management of concomitant abdominal aortic aneurysm (AAA) and intra-abdominal malignancy is controversial. The performance of endovascular repair (EVAR) for AAA has been increasing; however, there is no report of laparoscopic pancreaticoduodenectomy after EVAR.PRESENTATION OF CASEA pancreatic tumor was detected during follow-up after EVAR for AAA. The enlarging tumor was diagnosed as an intraductal papillary mucinous tumor with a nodule. Laparoscopic pancreaticoduodenectomy was safely performed. After laparoscopic dissection around the pancreas head, an additional incision was made in the upper abdomen, and pancreatic reconstruction was performed through the incision. In spite of grade B pancreatic fistulae, the patient recovered with medical therapy. The pathological diagnosis was intraductal papillary mucinous adenoma with small foci of carcinoma in situ. The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months.DISCUSSIONThe management of concomitant malignancy and AAA is challenging, especially in patients with a pancreatic tumor. The reasons for the rarity of treatment include prognosis, anatomical vicinity, and postoperative complications. EVAR reduces retroperitoneal adhesions. A laparoscopic approach provides a small operative field and decreases mutual interference with AAA. Moreover, reconstruction is performed through an upper abdominal incision apart from the AAA. Hand-sewing provides more reliable stability of the anastomosis.CONCLUSIONThe increasing frequency of performance of EVAR for AAA and subsequent computed tomography may help to detect malignancy. Laparoscopic surgery appears to be a valid approach to malignancy after EVAR.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm

Kawaguchi

Ishikawa

Shimada

et al. 2013

International Journal of Surgery Case Reports

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“…Pancreatic adenocarcinoma, which accounts for the majority in pancreatic neoplasms, has a very poor prognosis, and pancreatic cystic or endocrine tumors (which have better survival rates) are relatively uncommon. The authors found only 4 cases of one-stage [7][8][9] and 6 cases of staged [9,11,[13][14][15] operations for AAA and pancreatic neoplasms in the English literature published from 1967 to 2010. To the best of our knowledge, this is the 5th reported case of a one-stage operation for concomitant AAA and pancreatic neoplasms.…”

Section: Discussionmentioning

confidence: 99%

A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case

Tsuji¹,

Kitano²,

Sawada³

2012

Surg Today

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Pancreatic surgery concomitant with abdominal aortic repair is rarely chosen due to concerns about prosthetic infection following pancreatic leakage and the poor prognosis of pancreatic neoplasms. We herein report a successfully treated case of infrarenal abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas treated by a one-stage operation. A 75-year-old male with a history of cerebral infarction and chronic subdural hematoma was referred to our department with a pulsatile abdominal mass. A 70-mm infrarenal abdominal aortic aneurysm with severe proximal neck angulation and a 28-mm multilocular cystic tumor with mural nodules in the pancreas body were detected. Abdominal aortic repair with a prosthetic graft and distal pancreatectomy were performed simultaneously. The postoperative course was mostly uneventful, and he was discharged to a rehabilitation facility.

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Sequential Endovascular Repair and Pancreaticoduodenectomy for Abdominal Aortic Aneurysm Copresenting with Periampullary Cancer

Sheen

Baguneid

Ellenbogen

et al. 2006

Annals of Vascular Surgery

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Abdominal aortic aneurysm repair after pancreaticoduodenectomy

Cited by 7 publications

References 17 publications

Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm

Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm

A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case

Sequential Endovascular Repair and Pancreaticoduodenectomy for Abdominal Aortic Aneurysm Copresenting with Periampullary Cancer

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