Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

95
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
95

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reappraising the T category in hepatocellular carcinoma: Prognostic impact of the type and extent of vascular invasion.

Surgery·2026
Same author

Log-transformed α-Fetoprotein and <i>Des</i>-γ-carboxy Prothrombin Predict Early Recurrence After Hepatectomy for Hepatocellular Carcinoma.

In vivo (Athens, Greece)·2026
Same author

Postoperative Abscesses in the Liver Resection Plane in Patients with a History of Biliary Tract Treatments: A Multicenter Cohort Study.

Asian Pacific journal of cancer prevention : APJCP·2026
Same author

Carbon Footprint in Hepatectomy Increases as the Approach Shifts From Open to Laparoscopic and Robot-Assisted Surgery.

Asian journal of endoscopic surgery·2026
Same author

Preoperative Serum Total Cholesterol Predicts Adjuvant Chemotherapy Completion After Pancreaticoduodenectomy for Pancreatic Cancer.

Anticancer research·2026
Same author

Local Tumor Response to Conventional Transarterial Chemoembolization following Seven-day Lenvatinib Administration.

Interventional radiology (Higashimatsuyama-shi (Japan)·2026

Related Experiment Video

Updated: May 28, 2025

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
03:34

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions

Published on: February 9, 2024

319

[Devising a Surgical Approach Using the Intestinal Derotation Procedure for Locally Advanced Pancreatic Cancer].

Shigeaki Kurihara1, Go Ohira, Kosuke Hatta

  • 1Dept. of Hepatobiliary and Pancreatic Surgery, Osaka Metropolitan University Graduate School of Medicine.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|February 14, 2025
PubMed
Summary

This study details a successful subtotal stomach-preserving pancreaticoduodenectomy for advanced pancreatic cancer. Innovative surgical techniques, including intestinal derotation and vascular reconstruction, enabled complete tumor removal and patient recovery.

More Related Videos

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
13:56

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique

Published on: August 14, 2021

6.2K
Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

Published on: February 2, 2022

1.9K

Related Experiment Videos

Last Updated: May 28, 2025

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
03:34

Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions

Published on: February 9, 2024

319
Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
13:56

Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique

Published on: August 14, 2021

6.2K
Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

Published on: February 2, 2022

1.9K

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Pancreatic head cancer presents significant surgical challenges, particularly with locally advanced disease involving major vasculature.
  • Neoadjuvant chemotherapy is often employed to downstage tumors and improve resectability.
  • Standard surgical approaches may be insufficient for complex cases with extensive vascular invasion.

Purpose of the Study:

  • To evaluate the feasibility and safety of subtotal stomach-preserving pancreaticoduodenectomy (SSPPD) in a patient with locally advanced pancreatic head cancer.
  • To assess the efficacy of an intestinal derotation procedure combined with vascular reconstruction for managing extensive superior mesenteric vein (SMV) invasion.
  • To highlight the benefits of multidisciplinary collaboration in complex oncologic surgery.

Main Methods:

  • A 77-year-old male patient with cT4N0M0, cStage III pancreatic head cancer underwent neoadjuvant chemotherapy (Gemcitabine and cisplatin).
  • SSPPD with portal vein resection and reconstruction was performed, incorporating an intestinal derotation procedure.
  • Complex portal vein reconstruction involved grafting and reanastomosis, facilitated by a joint operation with cardiovascular surgery.

Main Results:

  • Despite preoperative imaging suggesting extensive SMV invasion and potential SMA involvement, the surgery confirmed no SMA invasion, and a segment (J2A) suspected of invasion was preserved.
  • Pathological results revealed ypT3, ypN1a, M0, ypStage IIB, with R0 resection achieved.
  • The patient was discharged on postoperative day 19 without complications, demonstrating successful management of locally advanced pancreatic cancer.

Conclusions:

  • The combined approach of intestinal derotation and multidisciplinary vascular reconstruction is effective for safely managing highly locally advanced pancreatic cancer.
  • SSPPD is a viable option for selected patients, preserving organ function while achieving oncologic goals.
  • Careful preoperative assessment and tailored surgical strategies are crucial for optimizing outcomes in complex pancreatic cancer cases.