Pancreaticoduodenectomy with combined superior mesenteric vein resection without reconstruction is possible: A case report and review of the literature

World Journal of Clinical Cases
Lionel JouffretJean-Robert Delpero

Abstract

We report the case of a 56-year-old woman with pancreatic adenocarcinoma (PA) discovered during an episode of febrile jaundice. A computed tomography (CT) scan showed a mass in the head of the pancreas with circumferential infiltration of the superior mesenteric vein (SMV) and dilatation of the biliary and pancreatic ducts without metastases. The patient benefited from neoadjuvant chemotherapy (FOLFIRINOX) followed by radio-chemotherapy (45 Gy) and chemotherapy (LV5FU2). The revaluation CT revealed SMV thrombosis without portal vein (PV) thrombosis. There was no contact of the tumor with the PV. Pancreatoduodenectomy with combined resection of the SMV was performed with no reconstruction of this venous axis after confirmation of adequate PV, splenic, and left gastric venous flow and the absence of bowel ischemia. The pathological diagnosis was pT4N1R0 PA. There were no bowel angina issues during the follow-up period. At 15 mo after surgery, the patient died of metastatic recurrence.

References

May 2, 2001·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·J F PingpankB L Eisenberg
May 17, 2006·The British Journal of Surgery·H P P Siriwardana, A K Siriwardena
Jul 21, 2006·World Journal of Surgery·Nicolas CarrèreJacques Belghiti
Nov 23, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jordan M WinterCharles J Yeo
Dec 19, 2006·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Thomas J HowardKeith D Lillemoe
Apr 7, 2007·The Journal of Trauma·Juan A AsensioEric Kuncir
Apr 1, 2008·Annals of Surgery·Thomas SchnelldorferMichael B Farnell
Apr 29, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David K ChangAndrew V Biankin
Feb 17, 2010·Archives of Surgery·Javairiah FatimaMichael B Farnell
Aug 31, 2010·Journal of the American College of Surgeons·Carrie K ChuJuan M Sarmiento
Sep 13, 2012·Annals of Surgery·Olivier TurriniJean Robert Delpero
Mar 8, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Jean Robert DelperoJean Marie Boher
Jun 4, 2014·Journal of Hepato-biliary-pancreatic Sciences·Mehdi OuaïssiJean-Yves Mabrut
Nov 14, 2014·The British Journal of Surgery·M J KangS W Kim

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