title: Distal pancreatectomy with en bloc celiac resection for locally advanced pancreas carcinoma.
abstract: In locally advanced pancreatic body cancers, cancer infiltrates major vessels such as the celiac axis, common hepatic artery and superior mesenteric artery or vein, which is the borderline of resectability. Patients also suffer severe abdominal pain. Kondo and Hirano et al. developed a radical operation called "distal pancreatectomy with en bloc celiac resection (DP-CAR)" for such cases. We applied this procedure three times in two patients with pancreatic body carcinomas, in which combined vascular resection was necessary. Radical operation was eventually achieved.
authors.affiliation: Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan. a.nanasm@nagasaki-u.ac.jp
authors.forename: Atsushi
authors.initials: A
authors.lastname: Nanashima
authors.forename: Takafumi
authors.initials: T
authors.lastname: Abo
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Tomonaga
authors.forename: Akiko
authors.initials: A
authors.lastname: Fukuda
authors.forename: Masaki
authors.initials: M
authors.lastname: Kunizaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: To
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Takeshita
authors.forename: Shigekazu
authors.initials: S
authors.lastname: Hidaka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
authors.forename: Ichiro
authors.initials: I
authors.lastname: Sakamoto
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery*; D002445:Celiac Artery / Q000473:pathology / Q000601:surgery*; D002447:Celiac Plexus / Q000601:surgery; D005260:Female; D006499:Hepatic Artery / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D011169:Portal Vein / Q000473:pathology / Q000601:surgery; D013162:Splenic Vein / Q000473:pathology / Q000601:surgery