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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

 Yoonwon Kook  ;  Munseok Choi  ;  Jung Yup Park  ;  Yong Eun Chung  ;  Man-Deuk Kim  ;  Woo Jung Lee  ;  Chang Moo Kang 
 Annals of Hepato-biliary-pancreatic Surgery, Vol.24(4) : 551-556, 2020-11 
Journal Title
Annals of Hepato-biliary-pancreatic Surgery
Issue Date
Locally advanced pancreatic cancer ; Neoadjuvant chemotherapy ; Portal vein stent
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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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
Park, Jeong Youp(박정엽) ORCID logo https://orcid.org/0000-0003-0110-8606
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Chung, Yong Eun(정용은) ORCID logo https://orcid.org/0000-0003-0811-9578
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