Resection of the celiac axis increase resectability rate in locally advanced pancreatic body and gastric tumor
Ionescu, M.; Dumitraşcu, T.; Stroescu, C.; Ciurea, S.; Popescu, I.
Chirurgia 101(3): 297-305
2006
ISSN/ISBN: 1221-9118 PMID: 16927919 Document Number: 604858
Celiac axis involvement in locally advanced neoplasia was considered in the past a criteria of non resectability. Carcinoma of the body and tail of the pancreas is often diagnosed at an advanced stage or metastatic stage. Gastric carcinoma (particularly antral localization) can also be locally invasive. Celiac axis can be invaded in both neoplasias. In order to increase resectability rate in those two types of neoplasia celiac trunk resection was proposed (en bloc with distal pancreatectomy, loco-regional lymph node excision with or without total gastrectomy). We report our experience on 3 patients and some considerations about this surgical technique from medical literature.