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KMID : 1143920200240040551
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Annals of Hepato-Biliary-Pancreatic Surgery
2020 Volume.24 No. 4 p.551 ~ p.556
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Neoadjuvant chemotherapy followed by total pancreatectomy with splenectomy and combined vascular resections after preoperative percutaneous transhepatic portal vein stent placement in locally advanced pancreatic cancer with portal vein total obliteration
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Kook Yoon-Won
Choi Mun-Seok
Park Jung-Yup
Chung Yong-Eun
Kim Man-Deuk
Lee Woo-Jung
Kang Chang-Moo
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Abstract
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Pancreatic cancer is one of the most lethal malignant diseases in gastrointestinal system that only about 15-20% of the patients are potential candidates for resection at diagnostic stage. However, with the advent of neoadjuvant chemotherapy and advancement of surgical skills, patients with locally advanced pancreatic cancer (LAPC), which were deemed initially unresectable, have undergone margin negative radical resection. Here, we present a case of a patient with LAPC who was previously treated with neoadjuvant FOLFIRINOX and underwent pancreaticoduodenectomy combined with vascular resection after preoperative percutaneous transhepatic portal vein stent placement to relieve of portal vein obliteration. The patient recovered without any complication and was discharged on day 8 postoperatively.
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KEYWORD
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Locally advanced pancreatic cancer, Neoadjuvant chemotherapy, Portal vein stent
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