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resection of a locally advanced hilar tumor and the hepatic artery after stepwise hepatic arterial embolization: A case report

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World Journal of Gastroenterology 2008年第22期14卷 3587-3590页

作者： Takuya Miura Kenichi Hakamada Takashi Ohata Shunji Narumi Yoshikazu Toyoki Masaki Nara Keinosuke Ishido Motonari Ohashi Harue Akasaka Hiroyuki Jin Norihito Kubo Shuichi Ono Hiroshi Kijima Mutsuo Sasaki Department of Gastroenterological Surgery Hirosaki University Graduate School of Medicine Hirosaki 036-8562 Japan Department of Radiology and Radiation Oncology Hirosaki University Graduate School of Medicine Hirosaki 036-8562 Japan Department of Gastroenterological Surgery Hirosaki University Graduate School of Medicine Hirosaki 036-8562 Japan Department of Pathology and Bioscience Hirosaki University Graduate School of Medicine Hirosaki 036-8562 Japan Department of Pathology and Bioscience Hirosaki University Graduate School of Medicine Hirosaki 036-8562 Japan

We herein report a case of a hilar tumor with extensive invasion to the proper hepatic artery, which was successfully treated with a radical resection in a 57-year-old female patient after a stepwise hepatic arterial embolization. She underwent right colectomy and partial hepatectomy for advanced colon cancer two years ago and radiofrequency ablation therapy for a liver metastasis one year ago, respectively. A recurrent tumor was noted around the proper hepatic artery with invasion to the left hepatic duct and right hepatic artery 7 mo previously. We planned a radical resection for the patient 5 mo after the absence of tumor progression was confirmed while he was undergoing chemotherapy. To avoid surgery-related liver failure, we tried to promote the formation of collateral hepatic arteries after stepwise arterial embolizationof the posterior and anterior hepatic arteries two weeks apart. Finally, the proper hepatic artery was occluded after formation of collateral flow from the inferior phrenic and superior mesenteric arteries was confirmed. One month later, a left hepatectomy with hepatic arterial resection was successfully performed without any major complications.

关键词： Hepatic arterial embolization Stepwise Hilar tumor arterial resection Collateral artery

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A critical review of pancreatectomy with concomitant superior mesenteric artery resection and intestinal autotransplantation

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Hepatobiliary Surgery and Nutrition 2023年第5期12卷 756-758页

作者： Benedetto Ielpo Patricia Sánchez-Velázquez Gemma Vellalta Mauro Podda Fernando Burdio Hepato-Biliary and Pancreatic Surgery Unit Department of SurgeryHospital del MarHospital del Mar Research InstituteUniversity Pompeu-FabraBarcelonaSpain Department of Surgical Science University of CagliariCagliariItaly

We have read with great interest the study by Liang et *** the role of radical resection combined with intestinal autotransplantation for locally advanced pancreatic cancer after neoadjuvant therapy(1).The study may a... 详细信息

关键词： Pancreatic cancer arterial resection neoadjuvant treatment intestinal autotransplantation

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Borderline resectable pancreatic cancer and vascular resections in the era of neoadjuvant therapy

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World Journal of Clinical Cases 2021年第20期9卷 5398-5407页

作者： Danko Mikulic Anna Mrzljak Department of Surgery University Hospital MerkurZagreb 10000Croatia Department of Gastroenterology and Hepatology University Hospital Center ZagrebZagreb 10000Croatia

While pancreatic cancer is still characterized by early systemic spread and poor outcomes,the treatment of this disease has changed significantly in recent years due to major advancements in systemic therapy and advanced surgical *** use of effective neoadjuvant approaches combined with aggressive surgical operations within a multidisciplinary setting has improved *** resectable pancreatic cancer is characterized by tumor vascular invasion,and is a setting where the combination of potent neoadjuvant chemotherapy and aggressive surgical methods,including vascular resections and reconstructions,shows its full ***,this will lead to improved local control and curative treatment in a number of patients with this aggressive malignancy.

关键词： Pancreatic adenocarcinoma Borderline resectable Neoadjuvant therapy Venous resection arterial resection Vascular reconstruction

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Intestinal autotransplantation:the next level of complexity in locally advanced pancreatic cancer

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Hepatobiliary Surgery and Nutrition 2023年第4期12卷 604-606页

作者： Artur Rebelo Jorg Kleeff Department of Visceral Vascular and Endocrine SurgeryUniversity Hospital Halle(Saale)Martin-Luther-University Halle-WittenbergHalleGermany

Pancreatic ductal adenocarcinoma(PDAC)remains a devastating disease,and selecting patients who might benefit from complex arterial resection continues to be a ***,in the era of modern multimodal treatments,surgery for pancreatic cancer has become increasingly *** chemotherapy regimens such as modified-FOLFIRINOX(mFOLFIRINOX)and nab-paclitaxel/gemcitabine are effective in a significant proportion of patients.

关键词： Pancreatic cancer with intestinal autotransplantation locally advanced arterial resection

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Artery encasement on preoperative CT scan does not preclude radical surgery: a case report utilizing sub-adventitial divestment for artery-involving pancreatic cancer

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胰腺病学杂志(英文) 2022年第3期05卷 137-139页

作者： Cai Baobao Lu Zipeng Miao Yi Pancreas Centre The First Affiliated Hospital 3. Nanjing Medical University 4. Nanjing 5. People’s Republic of China

Pancreatic cancer was most lethal malignancy and artery involvement was the most common clinic scenario that hindered radical resection for non-metastatic lesions. While artery resection and reconstruction combined pancreatectomies were significantly complicated, artery-sparing techniques were of interest. A patient was reported with pancreatic cancer encasing major abdominal arteries. Sub-adventitial divestment technique was performed to achieve curative-intend resection, indicating that artery encasement did not preclude radical surgery. Surgical maneuver as well as the rationale of this technique were presented and discussed in detail. In conclusion, technical resectability of artery-involving pancreatic cancer was determined by invasion depth of the lesion to tumor rather than the involving circumference. Surgical innovations were to increase the chance of curative resection.

关键词： arterial resection Artery preservation Pancreatectomy Pancreatic neoplasms

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