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1.
Khirurgiia (Mosk) ; (10): 13-28, 2021.
Article in English, Russian | MEDLINE | ID: mdl-34608776

ABSTRACT

OBJECTIVE: To evaluate safety and postoperative outcomes of DP-CAR with resection of one of the lobar hepatic arteries without arterial reconstruction (extended DP-CAR). MATERIAL AND METHODS: Perioperative data and survival after 7 extended DP-CARs R0 were retrospectively analyzed. Arterial blood flow in the liver was assessed using intraoperative ultrasound and postoperative CT angiography. RESULTS: Among 40 DP-CARs, resection of left or right hepatic artery was performed in 7 cases of aberrant anatomy including 1 case of portal vein resection. Mortality and ischemic complications were not observed. The main source of blood supply to the «devascularized¼ liver lobe was interlobar communicating artery or the arcade of the lesser curvature of the stomach. Incidence of pancreatic fistula was 44%, mean blood loss - 230 (100-650) ml, surgery time - 259 (195-310) min, mean hospital-stay - 14 (9-26) days. Median survival of patients with pancreatic ductal adenocarcinoma was 25 months after combined treatment. Three patients died after 26, 28 and 77 months. Other patients are alive without progression for 109, 24, 23 and 12 months after therapy onset. CONCLUSION: Extended DP-CAR is advisable and safe procedure if reliable intraoperative control of liver and stomach blood supply is ensured.


Subject(s)
Pancreatectomy , Pancreatic Neoplasms , Celiac Artery/diagnostic imaging , Celiac Artery/surgery , Hepatic Artery/diagnostic imaging , Hepatic Artery/surgery , Humans , Pancreatectomy/adverse effects , Pancreatic Neoplasms/surgery , Retrospective Studies
2.
Khirurgiia (Mosk) ; (3): 9-17, 2016.
Article in Russian | MEDLINE | ID: mdl-27070870

ABSTRACT

AIM: To evaluate safety and efficacy of distal pancreatectomy with en bloc celiac artery resection (DP-CAR) for pancreatic malignancy. MATERIAL AND METHODS: Medical reports of 17 patients who underwent DP-CAR procedure (15 of them with pancreatic malignancy) were retrospectively analyzed. Also we studied 27 publications describing more than 2 cases of DP-CAR. RESULTS: R0- and R1-resection was performed in 14 (82%) and 3 (18%) patients respectively. Postoperative complications ware observed in 11 (65%) cases. Nine of them were successfully treated. Full pain control was achieved in all patients. There were no any ischemic complications. 16 patients received chemotherapy. 2 (11%) patients died in early postoperative period due to aortic dissection in 10 days and fungal sepsis in 44 days after surgery. Median survival was 20 months. Literature review included 27 articles describing 311 operations. Herewith postoperative complications developed in 43% of cases and 90-day postoperative mortality was 4%. Median survival ranged from 9.3 to 26 months. CONCLUSION: DP-CAR is effective and safe procedure in certain patients with locally advanced pancreatic cancer.


Subject(s)
Pancreatectomy , Pancreatic Neoplasms/surgery , Postoperative Complications/etiology , Vascular Surgical Procedures , Adult , Aged , Celiac Artery/surgery , Female , Humans , Male , Middle Aged , Outcome Assessment, Health Care , Pancreatectomy/adverse effects , Pancreatectomy/methods , Pancreatic Neoplasms/diagnosis , Pancreatic Neoplasms/mortality , Survival Analysis , Tomography, X-Ray Computed/methods , Vascular Surgical Procedures/adverse effects , Vascular Surgical Procedures/methods
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