M.G. Abgaryan, E.R. Virshke, N.E. Kudashkin
N.N. Blokhin Russian Cancer Research Center, Moscow
Abgaryan M.G. ― Cand. Med. Sc., senior researcher at the Department of Abdominal Oncology of the N.N. Blokhin Russian Cancer Research Center
23 Kashirskoe shosse, Moscow, Russian Federation, 115478, tel. +7-901-708-94-1, e-mail: email@example.com
Abstract. Pancreatic resection with resection of the celiac trunk and common hepatic artery without plastics can be performed safely in situation of adequate arterial collateral flow. We report a 58 years old patient with ductal cancer of the body and tail of the pancreas with invasion of the celiac trunk, initial parts of the common hepatic and splenic artery and inadequate collateral flow. Distal pancreatectomy with en bloc celiac trunk resection and reconstruction was performed. Two weeks later there was no stenosis of vascular anastomosis. Two months later obliteration of arterial anastomosis was observed with adequate collateral flow between superior mesenteric and proper hepatic artery.
Кеу words: pancreatic cancer, angioplasty, vascular reconstruction, invasion of the celiac trunk, common hepatic artery invasion.