Results of the modified Appleby procedure.

Abstract

DP-CAR is effective and safe procedure in certain patients with locally advanced pancreatic cancer.

Celiac trunk resection in patients with pancreatic cancer and severe pain syndrome

“…Mayumi и соавт. [23][24][25][26][27][28][29][30][31][32][33] сообщают о результатах дистальной резекции поджелудочной железы с резекцией чревного ствола при раке тела и хвоста поджелудочной железы. Одно-и трехлетняя выживаемость составила 40 и 20%.…”

Pancreatic Cancer: Statistics And Treatment In The Russian Federation

“…The resection of the celiac trunk and the common hepatic artery with ligation of the base of the celiac trunk and the common hepatic artery before the site of the gastroduodenal artery and without grafting of the aortohepatic arterial vascular bed is possible in cases of sufficiently developed arterial collaterals between the basins of the superior mesenteric and gastroduodenal arteries. The blood supply of the liver is provided by the gastroduodenal artery [21,32]. R. Koehler et al proved that after the ligation of the celiac trunk, the collaterals from the superior mesenteric artery through the pancreatoduodenal artery significantly expand in diameter in 4 hours, and the blood flow of the liver is fully restored within 6 months; these data are based on the results of an angiographic study [33].…”

“…The other danger of the resection of the celiac trunk is the potential for disturbance of the blood supply to the stomach. The blood supply of the stomach is provided by the right gastroepiploic and right gastric arteries after the ligation of the common hepatic artery (before the appearance of the gastroduodenal artery); as a rule, this is an adequate blood supply [32]. In rare cases, this type of blood supply is inadequate [21].…”