EXPERIENCE OF GASTROPANCREATODUODENAL RESECTION WITH CIRCULAR RESECTION OF MAJOR VENOUS VESSELS
https://doi.org/10.38181/2223-2427-2020-4-40-47
Abstract
Purpose of work. Improve patient outcomes in patients with pancreatic cancer.
Material and methods of research. We present our own clinical observation of surgical treatment of malignant neoplasms of the head of the pancreas with invasion of the main venous vessels. In 2019, on the basis of 1 surgical Department of the GUZ Regional clinical oncological dispensary, 2 patients underwent gastropancreatoduodenal resections with circular portal vein resection and end-to-end angioplasty.
The results of the study and their discussion. Tumor invasion into the main venous vessels is not a contraindication to performing radical surgery and is achievable when performing gastropancreatoduodenal resection, due to resections of the main venous vessels together with the tumor invading its wall.
Conclusions. Resection of the portal vein together with the pancreatic head tumor invading its wall contributes to the achievement of radical surgery when performing gastropancreatoduodenal resection.
About the Authors
V. I. Orelkin
GUZ «Ulyanovsk regional clinical oncological dispensary»
Russian Federation
Russian Federation
Orelkin Vladislav Igorevich – surgeon, 1 surgical department
Ulyanovsk
E. A. Toneev
GUZ «Ulyanovsk regional clinical oncological dispensary»; Ulyanovsk State University
Russian Federation
Russian Federation
Toneev Evgeny Aleksandrovich – surgeon of the surgical thoracic department of the State Healthcare; assistant of the Department of Faculty Surgery, Faculty of Medicine named after T.Z. Biktimirova, Institute of Medicine, Ecology and Physical Culture
Ulyanovsk
A. V. Zhinov
GUZ «Ulyanovsk regional clinical oncological dispensary»
Russian Federation
Russian Federation
Zhinov Anatoly Vasilyevich – candidate of medical sciences, surgeon, head of the 1st surgical department
Ulyanovsk
S. V. Gorodnov
GUZ «Ulyanovsk regional clinical oncological dispensary»
Russian Federation
Russian Federation
Gorodnov Sergey Valerievich – surgeon of the 1st surgical department
Ulyanovsk
B. V. Abroskin
GUZ «Ulyanovsk regional clinical oncological dispensary»
Russian Federation
Russian Federation
Abroskin Boris Vasilievich – surgeon-oncologist, Ph.D. State healthcare
Ulyanovsk
Y. D. Orelkina
Ulyanovsk State University
Russian Federation
Russian Federation
Orelkina Yulia Denisovna – 5th year student of Faculty Surgery, Faculty of Medicine named after T.Z. Biktimirova, Institute of Medicine, Ecology and Physical Culture
Ulyanovsk
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Review
For citations:
Orelkin V.I., Toneev E.A., Zhinov A.V., Gorodnov S.V., Abroskin B.V., Orelkina Y.D. EXPERIENCE OF GASTROPANCREATODUODENAL RESECTION WITH CIRCULAR RESECTION OF MAJOR VENOUS VESSELS. Surgical practice (Russia). 2020;(4):40-47. (In Russ.) https://doi.org/10.38181/2223-2427-2020-4-40-47
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