一级IA 胰腺囊切除术与一级IA 腹轴切除,SMA 隔离和侧静脉重建与腹腔补丁:一种标准化技术
Valentin Artaud1, Xavier Giudcelli1, Laurent Sulpice2
1Service de Chirurgie Hépatobiliaire et Digestive, Hôpital Pontchaillou, Centre Hospitalier Universitaire, Rennes, France.
在经过新辅助疗法和血管调节后,手术切除侵入腹腔轴的局部发达胰腺瘤是可行的. 这种方法涉及与乳轴切除的远端脊髓瘤切除术,提供了一种可行的治疗选择.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 胰腺瘤侵入轴,在诱导疗法后越来越多地被切除.
- 标准程序涉及胰腺囊切除与腹腔轴切除,如果没有再血管化,则被归类为IA.
研究的目的:
- 呈现一种局部发达的胰腺体瘤的病例,涉及腹轴.
- 为了证明手术技术和结果后的新辅助疗法和手术前的血管调节.
主要方法:
- 一名52岁的患者偶然发现了胰腺体质量,接受了诱导疗法 (基于FOLFIRINOX和capecitabine的化学放射治疗).
- 进行了肝脏和左胃动脉的手术前栓塞.
- 进行了与腹腔轴切除的远端脊髓瘤切除术,上层中枢动脉隔离,以及与静脉重建的门-中枢轴切除术.
主要成果:
- 手术过程没有任何事件.
- 手术后的恢复没有复杂.
- 患者的局部晚期胰腺瘤成功切除.
结论:
- 局部发达的胰腺体瘤涉及干和/或上层中枢动脉可以在新辅助疗法和血管调节后切除.
- 复杂的程序需要多学科的方法和专门的中心,具有干预性放射学专业知识.
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