ArticleJournal of surgical case reports2025
Pancreatectomy with en bloc superior mesenteric vein resection and permanent mesocaval shunting for locally advanced pancreatic head cancer.
Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Surgical Perspectives on Neoadjuvant Therapy in Borderline Resectable and Locally Advanced Pancreatic Cancer.Cancers · 2026Review
- Surgical decision-making in borderline resectable pancreatic cancer in the era of neoadjuvant therapy: from response assessment to individualized operative strategy.Frontiers in surgery · 2026Review
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In pancreatic cancer (PC) with superior mesenteric vein (SMV) invasion, radical resection following neoadjuvant chemotherapy (NAC) is often feasible. While temporary mesocaval shunting (MCS) with subsequent portal vein (PV) reconstruction has been reported, PV reconstruction may be omitted in cases with sufficient collateral circulation. We report a case in which permanent MCS without PV reconstruction was employed to manage unexpected bowel congestion despite preoperative imaging suggesting adequate collateral flow. An elderly woman with borderline resectable uncinate PC and SMV invasion underwent pancreaticoduodenectomy with en bloc SMV resection following NAC. Intraoperatively, a 12-cm gap for reconstruction was noticed, and MCS was performed. The patient was discharged without liver dysfunction or hyperammonemia. This case highlights that permanent MCS may offer a salvage technique in select patients with SMV involvement, particularly when venous grafts are not available. It expands the surgical options in anatomically challenging cases.
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