scholarly journals Left Gastric Artery Reconstruction after Distal Pancreatectomy with Celiac Axis En-Bloc Resection: How We Do It

2017 ◽  
Vol 4 (1-2) ◽  
pp. 28-35 ◽  
Author(s):  
Ken-ichi Okada ◽  
Seiko Hirono ◽  
Manabu Kawai ◽  
Shinya Hayami ◽  
Shinichi Asamura ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
En Bloc Resection ◽  
Left Gastric Artery ◽  
Bloc Resection ◽  
Celiac Axis ◽  
Gastric Artery ◽  
En Bloc ◽  
Artery Reconstruction

scholarly journals Extended Distal Pancreatectomy with En Bloc Resection of the Celiac Axis for Locally Advanced Pancreatic Cancer: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Patrick H. Alizai ◽  
Andreas H. Mahnken ◽  
Christian D. Klink ◽  
Ulf P. Neumann ◽  
Karsten Junge
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Locally Advanced ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Common Hepatic Artery ◽  
Celiac Axis ◽  
Review Of The Literature ◽  
En Bloc ◽  
The Common

Due to a lack of early symptoms, pancreatic cancers of the body and tail are discovered mostly at advanced stages. These locally advanced cancers often involve the celiac axis or the common hepatic artery and are therefore declared unresectable. The extended distal pancreatectomy with en bloc resection of the celiac artery may offer a chance of complete resection. We present the case of a 48-year-old female with pancreatic body cancer invading the celiac axis. The patient underwent laparoscopy to exclude hepatic and peritoneal metastasis. Subsequently, a selective embolization of the common hepatic artery was performed to enlarge arterial flow to the hepatobiliary system and the stomach via the pancreatoduodenal arcades from the superior mesenteric artery. Fifteen days after embolization, the extended distal pancreatectomy with splenectomy and en bloc resection of the celiac axis was carried out. The postoperative course was uneventful, and complete tumor resection was achieved. This case report and a review of the literature show the feasibility and safety of the extended distal pancreatectomy with en bloc resection of the celiac axis. A preoperative embolization of the celiac axis may avoid ischemia-related complications of the stomach or the liver.

Distal Pancreatectomy with Celiac Axis Resection Combined with Reconstruction of the Left Gastric Artery

2017 ◽  
Vol 21 (5) ◽  
pp. 910-917 ◽  
Author(s):  
Takafumi Sato ◽  
Yosuke Inoue ◽  
Yu Takahashi ◽  
Yoshihiro Mise ◽  
Takeaki Ishizawa ◽  
...  
Keyword(s):  
Distal Pancreatectomy ◽  
Left Gastric Artery ◽  
Celiac Axis ◽  
Gastric Artery
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