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Updated: Aug 15, 2026
Laparoscopic Left Liver Sectoriectomy of Caroli's Disease Limited to Segment II and III
Published on: February 27, 2009
[Pure laparoscopic DP-CAR procedure with portal vein resection]
S E Voskanyan1, M V Shabalin1, A I Artemiyev1
1Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia.
Objective:
To improve short- and long-term outcomes of locally advanced pancreatic body-tail cancer followed by major vessels invasion.
Material And Methods:
A case report of pure laparoscopic DP-CAR procedure with portal vein resection for locally advanced pancreatic body-tail cancer followed by severe abdominal pain in a 49-year-old patient is presented.
Results:
Liver or stomach ischemia was not observed. Portal wall resection wasn't associated with any complication and resulted R0-resection. Postoperative period was complicated by Grade B pancreatic fistula. Preoperative abdominal pain completely disappeared after surgery. Surgery time was 330 min, intraoperative blood loss - 300 ml. The patient is currently undergoing FOLFIRINOX adjuvant chemotherapy. CT in 90 days after surgery confirmed no progression of disease or liver/stomach blood supply congestion.
Conclusion:
Modern technologies provide the opportunity to perform pure laparoscopic advanced surgical procedures with major vessels resection. Pure laparoscopic DP-CAR procedure with portal vein resection is effective and safe procedure that can be performed with all principles of open surgery and is associated with acceptable short- and long-term results.
