Diagnosis and treatment of pancreatic head cancer followed by mesenteric-portal vein invasion

Кригер, А Г; Kаrmаzаnovsky, G. G.; Smirnov, A. V.; Kharazov, A.F.; Горин, Д. С.; Raevskaya, Marianna; Galkin, G V; Ревишвили, А. Ш.

doi:10.17116/hirurgia201812121

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Due to its insidious onset and atypical early symptoms, pancreatic cancer is most often detected at middle and late stages. In addition, due to the special anatomical relationships between the pancreas and the portal vein (PV)/superior mesenteric vein (SMV), pancreatic cancer is prone to invade the PV and SMV (1). When pancreatic cancer involves the PV, SMV, and splenic vein, pancreaticoduodenectomy often requires resection of the involved veins and subsequent venous reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Use of the peritoneum or the round ligament of the liver in radical surgery for pancreatic cancer

Zhang¹,

Zhou²,

Xiang³

et al. 2021

Gland Surg

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Background: At present, the materials commonly used for venous reconstruction in radical surgery for pancreatic cancer combined with vascular reconstruction include artificial blood vessels, autologous veins, and allogeneic blood vessels, but these materials all have their own disadvantages. In contrast, the use of the peritoneum and the round ligament of the liver for radical surgery for pancreatic cancer combined with vascular reconstruction provides new options.Methods: A retrospective descriptive study was performed. Clinical data were collected from 11 patients (5 males and 6 females with a median age of 62 years and an age range of 48-72 years) who underwent pancreatic cancer surgery combined with resection and reconstruction of the portal vein (PV) and superior mesenteric vein (SMV) using the peritoneum (including the round ligament of the liver) from November 2018 to November 2020 in the

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Section: Introductionmentioning

confidence: 99%

Use of the peritoneum or the round ligament of the liver in radical surgery for pancreatic cancer

Zhang¹,

Zhou²,

Xiang³

et al. 2021

Gland Surg

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СT and MRI in the assessment of resectable and borderline resectable pancreatic tumors

et al. 2021

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Aim. To evaluate the capabilities of CT and MRI in the assessment of resectable and potentially resectable pancreatic tumors.Materials and methods. From 2015 to 2020 CT and MRI examination of the abdomen was performed in 220 patients with pancreatic ductal adenocarcinoma. The average age of the patients was 54.6 ± 9.9 years. 198 (90%) patients had a tumor of the pancreas head, 22 (10%) patients had a tumor of the body or tail of the organ. 110 (50%) people were recognized as inoperable. The results of examination of 88 (40%) patients were subjected to in-depth analysis.Results. Eighty eight patients were assessed for tumor resectability. In 36 (40.9%) cases, the neoplasm was recognized as resectable, and the standard resection was performed. In 52 (59.1%) cases, the tumor was determined as borderline resectable; extended gastropancreatoduodenal resection was performed.The usefulness of CT was shown in assessing the features of the variable vascular anatomy of the hepatopancreatobiliary area, determining the nature of the involvement of key vessels in the pathological process and lesions of the pancreas as a whole. The importance of using multiphase CT scanning is demonstrated and emphasized. The advantages of the MRI are indicated, including examples of the effective use of diffusion-weighted images.Conclusion. Multiphase MDCT and MRI with dynamic contrast enhancement are the leading methods of radiological diagnosis of malignant tumors of the pancreas and effectively complement each other.

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Comparison of access to the superior mesenteric arteryduring the execution of the pancreatoduodenal resectionin patients with borderline-resectable cancer of the pancreatic head

Tarasenko

Natalsky

Peskov

et al. 2023

jour

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The purpose of the study is to study the technical aspects of surgical treatment of borderline-resectable pancreatic head tumors Materials and methods. An analysis of the implementation of the DA was performed in 102 patients with borderline-resectable pancreatic head cancer. In 20% of patients, the tumor grows in the region of the celiac-mesenteric gap of the tumor (mesopancreas germination). In 25.6%, the tumor grows on the wall of the portal-superior mesenteric segment. In 12.7%, the tumor tightly covers the walls of the branches of the celiac trunk or superior mesenteric artery by less than 180 degrees, extending to the fascial sheath and adventitia of the vessel. Results. During the implementation of the DA with various methods of access to the IWL, no significant differences were revealed in the early postoperative period. Conclusion. The choice of access is determined by the “anatomy” of the spread of the tumor. AMS rear access is most convenient for IPDA isolation and ligation. Mesenteric access allows the most secure ligation of PDJV

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Diagnosis and treatment of pancreatic head cancer followed by mesenteric-portal vein invasion

Cited by 3 publications

References 21 publications

Use of the peritoneum or the round ligament of the liver in radical surgery for pancreatic cancer

Use of the peritoneum or the round ligament of the liver in radical surgery for pancreatic cancer

СT and MRI in the assessment of resectable and borderline resectable pancreatic tumors

Comparison of access to the superior mesenteric arteryduring the execution of the pancreatoduodenal resectionin patients with borderline-resectable cancer of the pancreatic head

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