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Hepato-splenic-mesenteric trunk, an uncommon anatomical variation.
Cir Esp (Engl Ed)
January 2025
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Río Hortega, Valladolid.
Total Pancreatectomy for Locally Advanced Pancreatic Adenocarcinoma with Coeliac Trunk Resection and Retrograde Gastric Revascularization Through Aorto-Hepato-Spleno Allograft.
Ann Surg Oncol
January 2025
Department of HPB Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris-Cité, Clichy, France.
Background: Locally advanced pancreatic adenocarcinomas (LA-PDAC) are more frequently operated now than in the past because of new regimen chemotherapy and improvement in surgical technique. Resection of the coeliac trunk (CT) during pancreatoduodenectomy (PD) or total pancreatectomy (TP) is not routinely done owing to the risk of liver and gastric ischaemia. In this video, a patient with LA-PDAC underwent TP with CT resection and retrograde gastric revascularization through the distal splenic artery.
View Article and Find Full Text PDFThe impact of neoadjuvant therapy in patients with left-sided resectable pancreatic cancer: an international multicenter study.
Ann Oncol
January 2025
Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.
Purpose: To assess the association between neoadjuvant therapy and overall survival (OS) in patients with left-sided resectable pancreatic cancer (RPC) compared to upfront surgery.
Background: Left-sided pancreatic cancer is associated with worse OS compared to right-sided pancreatic cancer. Although neoadjuvant therapy is currently seen as not effective in patients with RPC, current randomized trials included mostly patients with right-sided RPC.
Hepatic Artery Reconstruction Using the Splenic Artery During Pancreatoduodenectomy.
J Am Coll Surg
January 2025
Department of Hepato-biliary-pancreatic Surgery and liver transplantation, APHP, Hôpital Beaujon, DMU DIGEST, Clichy, France.
Robotic Versus Open Distal Pancreatectomy: A Propensity Score Matching Analysis.
Int J Med Robot
December 2024
Hepato-Biliary-Pancreatic Surgery Division, Florence, Italy.
Background: Minimally invasive distal pancreatectomy offers recognised benefits over open surgery. Robotic surgery, with its shorter learning curve and technical advancements, presents a promising alternative to laparoscopy in managing pancreatic diseases.
Methods: This study enrolled consecutive patients undergoing distal pancreatectomy between January 2013 and May 2022.
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