ArticleBMC surgery2019
Arterial resection and reconstruction in pancreatectomy: surgical technique and outcomes.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Analysis of Hepatic Artery Reconstruction in Advanced Pancreatic Head Cancer.Plastic and reconstructive surgery. Global open · 2026Article
- Solitary right hepatic artery passing anterior to the pancreas: a rare and challenging anatomical variant during Whipple procedure.Journal of surgical case reports · 2026Article
- Pylorus-Preserving Pancreatoduodenectomy with Arterial Reconstruction and Right Gastric Vessel Preservation for Pancreatic Head Cancer with Atherosclerotic Celiac Axis Stenosis and Common Hepatic Artery Occlusion: A Case Report.Surgical case reports · 2026Article
- Diagnosis and Surgical Management for Advanced Pancreatic Cancer Requiring Vascular Resection.Diagnostics (Basel, Switzerland) · 2025Review
- Subserosal Layer and/or Pancreatic Invasion Based on Anatomical Features as a Novel Prognostic Indicator in Patients with Distal Cholangiocarcinoma.Diagnostics (Basel, Switzerland) · 2023Article
- A critical review of pancreatectomy with concomitant superior mesenteric artery resection and intestinal autotransplantation.Hepatobiliary surgery and nutrition · 2023Article
- Article
- Pancreaticoduodenectomy with celiac artery resection (PD-CAR) for unresctable locally advanced pancreatic ductal adenocarcinoma.Langenbeck's archives of surgery · 2023Article
- Arterial resection during operative management of pancreatic head and uncinate process adenocarcinoma: a systematic review.Translational gastroenterology and hepatology · 2023Review
- A 47-Year-Old Man with Advanced Distal Pancreatic Carcinoma and an Initial Partial Response to Chemotherapy Requiring Celiac Axis Reconstruction of the Common Hepatic Artery and Left Gastric Artery.The American journal of case reports · 2022Article
- Clinical significance of variant hepatic artery in pancreatic resection: A comprehensive review.World journal of gastroenterology · 2022Review
- Rare anastomosis between a replaced right hepatic artery and left branch of the proper hepatic artery.Surgical and radiologic anatomy : SRA · 2022Article
- Evolving Concepts Regarding Radiation Therapy for Pancreatic Cancer.Surgical oncology clinics of North America · 2021Review
- Hepatic artery resection and reconstruction using the right gastroepiploic artery during pancreaticoduodenectomy in advanced pancreatic cancer.Langenbeck's archives of surgery · 2021Article
- Borderline resectable pancreatic cancer and vascular resections in the era of neoadjuvant therapy.World journal of clinical cases · 2021Review
- Hepatic artery reconstruction after extended resection for borderline resectable pancreatic head cancer: A case report.Experimental and therapeutic medicine · 2021Article
- Successful conversion surgery of distal pancreatectomy with celiac axis resection (DP-CAR) with double arterial reconstruction using saphenous vein grafting for locally advanced pancreatic cancer: a case report.Surgical case reports · 2020Article
- Clinical usefulness of saphenous vein graft in major arterial reconstruction during extended pancreatectomy.Langenbeck's archives of surgery · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe outcomes in patients with pancreatic or ampulla tumors remain unsatisfactory, especially with invasion into the hepatic artery (HA) or the superior mesenteric artery (SMA). In this setting, pancreatectomy combined with arterial resection and reconstruction may offer the possibility of an en-block resection with negative margins and acceptable morbidity and mortality.
methodsA six year retrospective review of pancreatectomies performed at our institution, included 21 patients that underwent a pancreatectomy combined with arterial resection and reconstruction. Arterial reconstruction was performed under an operating microscope. The types of arterial reconstruction included direct anastomosis, arterial transposition, and arterial bypass with a vascular graft.
resultsThe surgical procedures consisted of 19 pancreaticoduodenectomies and 2 total pancreatectomies. The tumors were located at the pancreatic head (n = 10), whole pancreas (n = 2), distal common bile duct (n = 5), ampulla (n = 2) and retroperitoneum with pancreatic head involvement (n = 2). All operations achieved R0 resection successfully, with no intraoperative complication. Eighteen patients recovered without complications while three patients died from intra-abdominal hemorrhage due to a pancreatic fistula, though notably the bleeding was not at the arterial anastomosis site. All reconstructed arteries showed adequate patency at follow-up. The median postoperative survival was 11.6 months in all the 11 patients with pancreatic adenocarcinoma.
conclusionPancreatectomy combined with arterial resection and reconstruction is a feasible treatment option. The microsurgical technique is critically important to achieving a successful and patent arterial anastomosis.
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