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- W4233320907 abstract "Background: Pancreatic cancer is a high lethal neoplasm with a chance of curative resection less than 30%. The aim is to present a video with the surgical approach used in a case of successful downstaging after neoadjuvant chemoradiotherapy of a borderline pancreatic cáncer. Methods: A previously healthy 42 y/o women, presented with abdominal pain and jaundice. She was diagnosed of borderline pancreatic cancer by a 4 cms tumor at the neck of pancreas with encasement of portomesenteric axis and partial contact at the level of common hepatic artery. An endoscopic biliary stent and neoadjuvant chemoradiotherapy based on Gemcitabine-Paclitaxel plus 45Gy was proposed to her. After complete chemoradiotherapy a re-staging study showed partial response of tumor and no systemic progression. Results: A total duodenopancreatectomy and splenectomy with portal and superior mesenteric vein resection was performed with a end to end vascular anastomosis. Reconstruction after resection was done by hepaticojejunostomy and gastrojejunostomy using a single intestinal loop. The postoperative course was uneventful. Pathological study showed a 2x1.7cms mucinous adenocarcinoma of head/neck of pancreas with local infiltration of portal vein without surgical border affected by neoplasm; and 29 no infiltrated lymphatic nodes (pT3N0M0. Conclusion: The treatment of bordeline pancreatic neoplasm could be feasible when a multidisciplinary approach is used and the surgical team had experience in vascular reconstruction of porto-mesenteric vessels." @default.
- W4233320907 created "2022-05-12" @default.
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- W4233320907 date "2019-01-01" @default.
- W4233320907 modified "2023-10-15" @default.
- W4233320907 title "Total Duodenopancreatectomy and Splenectomy with portal vein resection for borderline pancreatic cancer after neoajuvant chemoradiotherapy" @default.
- W4233320907 doi "https://doi.org/10.1016/j.hpb.2019.10.1484" @default.
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