Arterial reconstruction by anastomosis of left gastric artery and superior mesenteric artery for locally advanced pancreatic carcinoma

Abstract

We report the case of a 61-year-old man with pancreatectomy with arterial resection and reconstruction and extended lymph node dissection because of locally advanced pancreatic cancer. Surgery revealed the tumor invading the root part of the superior mesenteric artery, so we cut off and reconstructed the artery root through end-to-end anastomosis of the left gastric artery and superior mesenteric artery. The left gastric artery is a reasonable choice to reconstruct the superior mesenteric artery, and to the best of our knowledge, only a few reports describe locally advanced pancreatic cancer as an indication for our surgical procedure.

Multiple vascular reconstructions during pancreatectomy: Surgical techniques and strategies

“…Although it can be anastomosed directly on the abdominal aorta, using a graft is easier and more effective as it also reduces vascular tension. Liu et al 16 used the left gastric artery-to-superior mesenteric artery end-to-end anastomosis technique in patients with only SMA involvement. Controversy still exists about choosing the best surgical technique and graft selection.…”