PDF(Pubmed)
Abstract：
Pancreatic head cancer is frequently associated with invasion of the surrounding vascular structures, such cases being considered for a long period of time as unresectable. Improvement of the vascular surgery techniques allowed association of extended vascular resections and reconstructions, increasing in this way the percentage of patients benefiting from radical surgery. We present the case of a 47-year-old male patient with no significant medical history diagnosed with a large pancreatic head tumor invading the common and proper hepatic artery as well as the portal vein. The venous reconstruction was performed using a synthetic prosthesis while the left hepatic artery was sutured to the left gastric artery; meanwhile the right hepatic artery was reconstructed using the splenic artery. In conclusion, extended hepatic artery resection followed by arterial reconstruction in association with portal vein resection and prosthetic replacement might be needed in cases presenting large pancreatic head tumors with vascular invasion.
摘要：
胰头癌通常与周围血管结构的侵袭有关。这种情况在很长一段时间内被认为是不可切除的。血管手术技术的改进允许延长血管切除和重建的关联，以这种方式增加患者受益于根治性手术的百分比。我们介绍了一名47岁的男性患者，该患者没有明显的病史，被诊断为大胰头肿瘤侵犯了肝总动脉和适当的肝动脉以及门静脉。使用合成假体进行静脉重建，同时将左肝动脉与左胃动脉缝合；同时使用脾动脉重建右肝动脉。总之,对于伴有血管侵犯的大胰头肿瘤的病例,可能需要延长肝动脉切除,然后再进行动脉重建,同时进行门静脉切除和假体置换.
