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01-03-2016 | How I do it

Total Pancreatectomy with Celiac Axis Resection and Hepatic Artery Restoration Using Splenic Artery Autograft Interposition

Authors: Suefumi Aosasa, Makoto Nishikawa, Takuji Noro, Junji Yamamoto

Published in: Journal of Gastrointestinal Surgery | Issue 3/2016

Abstract

Although the indication of locally advanced pancreatic cancer with arterial involvement is controversial, the outcome of the patients with such disease treated by combined resection and reconstruction of the invaded artery has improved recently. For pancreatic body carcinoma invading the celiac axis, distal pancreatectomy with celiac axis resection has been safely performed. However, in case of pancreatic body carcinoma with involvement of the celiac axis, the common hepatic artery and the gastroduodenal artery, margin-negative resection requires total pancreatectomy with celiac axis resection and restoration of hepatic arterial flow. Here, we describe an interposition grafting technique using the splenic artery harvested from the resected specimen. This technique is effective and may widen the resectability of pancreatic cancer in selected patients.

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Title: Total Pancreatectomy with Celiac Axis Resection and Hepatic Artery Restoration Using Splenic Artery Autograft Interposition
Authors: Suefumi Aosasa
Makoto Nishikawa
Takuji Noro
Junji Yamamoto
Publication date: 01-03-2016
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 3/2016
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-015-2991-0

At a glance: The STEP trials

Springer Medicine

Total Pancreatectomy with Celiac Axis Resection and Hepatic Artery Restoration Using Splenic Artery Autograft Interposition

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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