Pure laparoscopic DP-CAR procedure with portal vein resection

Voskanyan SE, Shabalin MV, Artemiev AI, et al. Pure laparoscopic DP-CAR procedure with portal vein resection. Pirogov Russian Journal of Surgery. 2019;(9):93‑98. (In Russ.)
https://doi.org/10.17116/hirurgia201909193

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Objective — to improve short- and long-term outcomes of locally advanced pancreatic body-tail cancer followed by major vessels invasion. Material and methods. A case report of pure laparoscopic DP-CAR procedure with portal vein resection for locally advanced pancreatic body-tail cancer followed by severe abdominal pain in a 49-year-old patient is presented. Results. Liver or stomach ischemia was not observed. Portal wall resection wasn’t associated with any complication and resulted R0-resection. Postoperative period was complicated by Grade B pancreatic fistula. Preoperative abdominal pain completely disappeared after surgery. Surgery time was 330 min, intraoperative blood loss — 300 ml. The patient is currently undergoing FOLFIRINOX adjuvant chemotherapy. CT in 90 days after surgery confirmed no progression of disease or liver/stomach blood supply congestion. Conclusion. Modern technologies provide the opportunity to perform pure laparoscopic advanced surgical procedures with major vessels resection. Pure laparoscopic DP-CAR procedure with portal vein resection is effective and safe procedure that can be performed with all principles of open surgery and is associated with acceptable short- and long-term results.

Keywords:

distal pancreatectomy

celiac artery resection

Appleby procedure

pancreatic body cancer

Authors:

Voskanyan S.E.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

ORCID: 0000-0001-5691-5398

Shabalin M.V.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

ORCID: 0000-0002-4527-0448

Artemiev A.I.

FGBU "Federal'nyĭ meditsinskiĭ biofizicheskiĭ tsentr im. A.I. Burnaziana" FMBA Rossii, Moskva

ORCID: 0000-0002-1784-5945

Kolyshev I.Yu.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

ORCID: 0000-0002-6254-130X

Bogoevich Z.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Kucherov N.N.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Bashkov A.N.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

ORCID: 0000-0002-4560-6415

Naidenov E.V.

State Research Center of the Russian Federation - Burnazyan Federal Medical Biophysical Center, FMBA of Russia, Moscow, Russia

ORCID: 0000-0002-9753-4345

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