Fiche publication
Date publication
septembre 2024
Journal
Surgical oncology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BACHELLIER Philippe
Tous les auteurs :
Mazzotta AD, Addeo P, Ielpo B, Ginesini M, Regenet N, Boggi U, Bachellier P, Soubrane O
Lien Pubmed
Résumé
Pancreaticoduodenectomy (PD) is the standard surgery to treat tumors and other conditions affecting the head of the pancreas. PD involves the division of the gastroduodenal artery (GDA) and its branches, to allow for complete dissection of lymph nodes. However, PD in patients with prior esophageal resection presents challenges due to altered anatomy and risks compromising gastric tube vascularization. GDA preservation becomes crucial to avoid ischemia, although this may pose oncological risks by potentially leaving behind regional lymph nodes. This article reviews European surgical center experiences and techniques for PD in patients with prior esophageal surgery, focusing on short-term outcomes.
Mots clés
Esophageal cancer, Pancreatoduodenectomy, Radicality, Surgical oncology, Vessel conservation
Référence
Surg Oncol. 2024 09 20;57:102144
