Synchronous arterial resection in pancreatic cancer: A case report

  • Authors:
    • Nicolae Bacalbasa
    • Irina Balescu
    • Mihai Dimitriu
    • Cristian Balalau
    • Florentina Furtunescu
    • Florentina Gherghiceanu
    • Daniel Radavoi
    • Camelia Diaconu
    • Ovidiu Stiru
    • Cornel Savu
    • Vladislav Brasoveanu
    • Claudia Stoica
    • Ioan Cordos
  • View Affiliations

  • Published online on: March 15, 2022     https://doi.org/10.3892/etm.2022.11258
  • Article Number: 329
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Abstract

Pancreatic cancer is one of the most lethal malignancies affecting people worldwide. As it is frequently diagnosed in advanced stages of the disease, the 5‑year overall survival rate is <10%. Advanced stages are usually characterized by the local invasion of the superior mesenteric axis, celiac axis and portal vein and are considered a sign of unresectable cancer. The association between venous resections and survival outcomes has been widely reported. The effect of arterial invasion remains unclear as only isolated cases have been reported thus far. The present study investigated the preliminary experience in the field of arterial resection for locally advanced pancreatic cancer. Between January 2018 and January 2020 arterial resection was successfully associated with pancreatoduodenectomy in four cases. The mean age at the time of surgery was 48 years, and in all cases the indication of resection was represented by pancreatic head adenocarcinoma. Different types of venous resections were required in all cases. Postoperative reoperation was required in one case, while histopathological studies confirmed microscopic negative resection margins in all but one case. In selected cases, combined pancreatoduodenectomy with venous and arterial resection may be required to increase the chances of radical surgery.
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May-2022
Volume 23 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Bacalbasa N, Balescu I, Dimitriu M, Balalau C, Furtunescu F, Gherghiceanu F, Radavoi D, Diaconu C, Stiru O, Savu C, Savu C, et al: Synchronous arterial resection in pancreatic cancer: A case report. Exp Ther Med 23: 329, 2022
APA
Bacalbasa, N., Balescu, I., Dimitriu, M., Balalau, C., Furtunescu, F., Gherghiceanu, F. ... Cordos, I. (2022). Synchronous arterial resection in pancreatic cancer: A case report. Experimental and Therapeutic Medicine, 23, 329. https://doi.org/10.3892/etm.2022.11258
MLA
Bacalbasa, N., Balescu, I., Dimitriu, M., Balalau, C., Furtunescu, F., Gherghiceanu, F., Radavoi, D., Diaconu, C., Stiru, O., Savu, C., Brasoveanu, V., Stoica, C., Cordos, I."Synchronous arterial resection in pancreatic cancer: A case report". Experimental and Therapeutic Medicine 23.5 (2022): 329.
Chicago
Bacalbasa, N., Balescu, I., Dimitriu, M., Balalau, C., Furtunescu, F., Gherghiceanu, F., Radavoi, D., Diaconu, C., Stiru, O., Savu, C., Brasoveanu, V., Stoica, C., Cordos, I."Synchronous arterial resection in pancreatic cancer: A case report". Experimental and Therapeutic Medicine 23, no. 5 (2022): 329. https://doi.org/10.3892/etm.2022.11258