Distal pancreatectomy with en bloc celiac resection for locally advanced pancreas carcinoma
Nanashima, A.; Abo, T.; Tomonaga, T.; Fukuda, A.; Kunizaki, M.; To, K.; Takeshita, H.; Hidaka, S.; Nagayasu, T.; Sakamoto, I.
Hepato-Gastroenterology 59(117): 1341-1344
2012
ISSN/ISBN: 0172-6390 PMID: 22499060 Document Number: 658179
In locally advanced pancreatic body cancers, cancer infiltrates major vessels such as the celiac axis, common hepatic artery and superior mesenteric artery or vein, which is the borderline of resectability. Patients also suffer severe abdominal pain. Kondo and Hirano et al. developed a radical operation called "distal pancreatectomy with en bloc celiac resection (DP-CAR)" for such cases. We applied this procedure three times in two patients with pancreatic body carcinomas, in which combined vascular resection was necessary. Radical operation was eventually achieved.