Gan to kagaku ryoho. Cancer & chemotherapy · 2011
[A safely resected case of hypervascular pancreatic giant tumor after preoperative arterial embolization].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Hirose Atsushi, Tajima Hidehiro, Okamoto Koichi, Makino Isamu, Kinoshita Jun, Hayashi Hironori, Nakamura Keishi, Oyama Katsunobu, Nakagawara Hisatoshi, Inokuchi Masafumi, Fujita Hideto, Takamura Hiroyuki, Ninomiya Itasu, Kitagawa Hirohisa, Fushida Sachio, Tani Takashi, Fujimura Takashi, Ohta Tetsuo, Koda Wataru, Matsui Osamu
Аннотация
A 73-year-old woman visited our hospital for a treatment of pancreatic tumor that increased steadily in size of 6 cm in diameter in 1999 to 13 cm in 2008, while remaining in asymptomatic condition throughout this follow-up time. The tumor was big and flowed from many vessels such as portal and superior mesenteric veins and the celiac and superior mesenteric arteries. These were critical for determining tumor respectability and the risk of massive intra-operative hemorrhage was felt to be considerable. Therefore, preoperative embolization of the tumor-feeding arteries arising from the celiac axis (gastroduodenal, splenic and dorsal pancreatic arteries) was performed on the previous day of operation. Tumor resection with pancreaticoduodenectomy and partial resection of portal vein and reconstruction were performed. We got to SMA with the use of "paraduodenal mesenteric approach", we called, and we finished the operation without a blood transfusion. The final pathology confirmed the diagnosis of serous microcystic adenoma.