Superior Mesenteric Vein Resection Followed by Porto-Jejunal Anastomosis During Pancreatoduodenectomy for Borderline Resectable Pancreatic Cancer - A Case Report and Literature Review

Overview

Journal In Vivo

Specialty Oncology

Date 2021 Aug 19

PMID 34410997

Authors

Nicolae Bacalbasa

Irina Balescu

Valentin Varlas

Mihai Dimitriu

Cristian Balalau

Florentina Furtunescu

Florentina Gherghiceanu

Daniel Radavoi

Camelia Diaconu

Ovidiu Stiru

Cornel Savu

Vladislav Brasoveanu

Ioan Cordos

Affiliations

Soon will be listed here.

Abstract

Background/aim: Pancreatic cancer represents the most lethal abdominal malignancy, the only chance for achieving an improvement in terms of survival being represented by radical surgery. Although it has been considered that venous invasion represents a contraindication for resection, recently it has been demonstrated that in regards to overall survival after radical resection, it is similar to the one reported after standard pancreatoduodenectomy.

Case Report: A 53-year-old patient with no significant medical past was diagnosed with a borderline resectable pancreatic adenocarcinoma invading the superior mesenteric vein. The patient was submitted to pancreatoduodenectomy en bloc with superior mesenteric vein resection; the two jejunal veins were further anastomosed to the remnant portal vein. The postoperative outcome was favorable; the patient was discharged in the 10 postoperative day.

Conclusion: Although technically more demanding, pancreatoduodenectomy en bloc with superior mesenteric vein resection and jejunal portal anastomosis is feasible and might offer a chance for long-term survival in borderline pancreatic head carcinoma invading the superior mesenteric vein.

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