Distal pancreatectomy with en bloc celiac resection for locally advanced pancreas carcinoma |
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Authors: | Nanashima Atsushi Abo Takafumi Tomonaga Tetsuro Fukuda Akiko Kunizaki Masaki To Kazuo Takeshita Hiroaki Hidaka Shigekazu Nagayasu Takeshi Sakamoto Ichiro |
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Affiliation: | Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. a.nanasm@nagasaki-u.ac.jp |
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Abstract: | 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. |
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