Reconstruction of visceral arteries with homografts in excision of the pancreas

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
U SettmacherP Neuhaus

Abstract

At present, surgical treatment with R(0) resection offers the only chance of cure for patients suffering from pancreatic cancer. Carcinomas of the pancreas are frequently diagnosed at an inoperable stage because of local tumor progression by vessel wall infiltration. In a small series of patients, efforts have been made to increase curative resection rates for advanced pancreatic cancer by excision and reconstruction of the involved visceral arteries. Whether this provides clinical benefit remains uncertain. Since 2001 we have been employing "en bloc" tumor resection for advanced pancreatic carcinomas with extended infiltration of visceral vessels. Technical experience was gained previously by performing portal vein resection as well as arterial excision and reconstruction by direct anastomosis in the presence of malignant wall infiltration. A total of ten patients underwent vascular reconstruction by arterial homograft interposition. In six of ten cases, combined extended reconstructions of the hepatic and superior mesenteric arteries were performed. One patient died during the perioperative course due to fulminant bleeding. One patient developed severe diarrhea. During a 3- to 18-month follow-up, one case of liver metastasis ...Continue Reading

References

Jun 1, 1975·American Journal of Surgery·H DardikM L Gliedman
Jul 1, 1995·World Journal of Surgery·S TakahashiT Tsuzuki
Feb 1, 1997·World Journal of Surgery·C SpertiS Pedrazzoli
Jul 1, 1997·Journal of Surgical Oncology·T TakahashiH Katoh
Sep 24, 1998·Journal of Hepato-biliary-pancreatic Surgery·I IhseL Hansson
Jan 12, 1999·Chirurgie; mémoires de l'Académie de chirurgie·J BaulieuxC Ducerf
Mar 10, 1999·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·J FaivreM Sant
Aug 7, 1999·Annals of Oncology : Official Journal of the European Society for Medical Oncology·M WagnerM W Büchler
Sep 11, 1999·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·R J BoldD B Evans
Mar 14, 2001·Journal of Clinical Gastroenterology·D I ParkY I Kim
Jun 14, 2001·The Kurume Medical Journal·H KinoshitaS Aoyagi
Apr 27, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H G RauF W Schildberg
May 7, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Aaron R SassonBurton L Eisenberg
Aug 10, 2002·Annals of Surgery·Markus SchäferPierre-Alain Clavien
Aug 28, 2003·Langenbeck's Archives of Surgery·Satoshi KondoToshiaki Morikawa
Jan 31, 2004·Current Oncology Reports·Janice P Dutcher

❮ Previous
Next ❯

Citations

Sep 17, 2010·Updates in Surgery·Thilo Hackert, Markus W Büchler
Jul 13, 2007·Gut·Paula GhanehJohn P Neoptolemos
Nov 19, 2008·World Journal of Surgical Oncology·Matthias GlanemannPeter Neuhaus
Oct 11, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A MehrabiJ Weitz
Nov 27, 2015·Gastroenterology Research and Practice·Thilo HackertMarkus W Büchler
Jan 1, 2011·Cancers·Thilo HackertJens Werner
Jun 9, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Patrick TéouleFelix Rückert

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.