Journal of Surgery Concepts & Practice ›› 2020, Vol. 25 ›› Issue (02): 134-138.doi: 10.16139/j.1007-9610.2020.02.010

• Original article • Previous Articles     Next Articles

Clinical study on distal pancreatectomy with en bloc celiac axis resection with analysis of vascular variation

CHEN Mengmin, ZHAO Shulin, JIN Jiabin, QIN Kai, DENG Xiaxing, SHEN Baiyong, PENG Chenghong()   

  1. Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 200025 Shanghai, China
  • Received:2018-05-02 Online:2020-03-25 Published:2020-04-25

Abstract:

Objective: To analyze the short-term efficacy of distal pancreatectomy with en bloc celiac axis resection (DP-CAR) in the treatment of locally advanced pancreatic body or tail cancer and the effect of vascular variation on morbidity after DP-CAR. Methods: A retrospective study was undertaken of 43 cases with pancreatic ductal adenocarcinoma diagnosed by pathological examination in the treatment of DP-CAR. R0 resection, morbidity and mortality were analyzed perioperatively with the effect of vascular variation. Results: R0 resection by DP-CAR was 81.4% in this study with mortality 7.0% and morbidity 45.6%. Eight cases were found with vascular variation. The postoperative morbidity in the group with vascular variation and in the group without vascular variation was 3/8 (37.5%) vs 17/35 (48.5%) and the mortality 1/8 (12.5%) vs 2/35 (5.7%), respectively. There was no significant difference statistically in morbidity and mortality between 2 groups. Conclusions: DP-CAR has the advantage of safety and feasibility. There would be no effect of vascular variation on morbidity after DP-CAR.

Key words: Distal pancreatectomy with en bloc celiac axis resection, Postoperative morbidity, Vascular variation, Locally advanced pancreatic body or tail cancer

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