Pure laparoscopic DP-CAR procedure with portal vein resection

Voskanyan S.Ae.

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

Shabalin M.V.

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

Artem'ev A.I.

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

Kolyshev I.Yu.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

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

Naidyonov E.V.

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

Pure laparoscopic DP-CAR procedure with portal vein resection

Authors:

Voskanyan S.Ae., Shabalin M.V., Artem'ev A.I., Kolyshev I.Yu., Bogoevich Z., Kucherov N.N., Bashkov A.N., Naidyonov E.V.

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Journal: Pirogov Russian Journal of Surgery. 2019;(9): 93‑98

DOI: 10.17116/hirurgia201909193

Downloaded: 24

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To cite this article:

Voskanyan SAe, Shabalin MV, Artem'ev 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 2025 (Pirogov Russian Journal of Surgery)

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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.Ae.

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

Shabalin M.V.

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

Artem'ev A.I.

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

Kolyshev I.Yu.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

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

Naidyonov E.V.

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

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