title: [Distal pancreatectomy with splenectomy and en bloc resection of the celiac trunk for locally advanced cancer of the pancreatic body with infiltration of the celiac trunk].
abstract: BACKGROUND
  Locally advanced cancer of the body of the pancreas with infiltration of the celiac trunk and its branches is often considered an unresectable disease. Distal pancreatectomy with resection of the celiac trunk was described as a new concept for the curative treatment of these tumors.
  
  
  METHODS
  The case of a 61-year-old female patient is reported, who underwent distal pancreatectomy with splenectomy and resection of the celiac trunk for locally advanced cancer of the pancreatic body with infiltration of the celiac trunk. The celiac trunk was embolized preoperatively in order to assure arterial perfusion of the liver.
  
  
  CONCLUSIONS
  Distal pancreatectomy with en bloc resection of the celiac trunk offers a high resectability rate and thus a curative option for locally advanced cancer of the pancreatic body with vascular invasion. The optimization of patient selection and the development of effective adjuvant chemotherapy could significantly improve the survival of patients subjected to this operation.
authors.affiliation: Klinik für Allgemein-, Visceral- und Transplantationschirurgie, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin, Germany. andreas.andreou@charite.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Andreou
authors.forename: Matthias
authors.initials: M
authors.lastname: Glanemann
authors.forename: Olaf
authors.initials: O
authors.lastname: Guckelberger
authors.forename: Timm
authors.initials: T
authors.lastname: Denecke
authors.forename: Christian
authors.initials: C
authors.lastname: Grieser
authors.forename: Petr
authors.initials: P
authors.lastname: Podrabsky
authors.forename: Peter
authors.initials: P
authors.lastname: Neuhaus
mesh_terms: D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery*; D002445:Celiac Artery / Q000473:pathology* / Q000601:surgery*; D049448:Cholangiopancreatography, Magnetic Resonance; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007511:Ischemia / Q000517:prevention & control; D008099:Liver / Q000098:blood supply; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy / Q000379:methods*; D010183:Pancreatic Ducts / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D011300:Preoperative Care; D011379:Prognosis; D013154:Spleen / Q000473:pathology; D013156:Splenectomy / Q000379:methods*; D013270:Stomach / Q000098:blood supply; D014057:Tomography, X-Ray Computed
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