Total pancreatectomy

With reconstruction of celiac artery with saphenous vein graft, and reconstruction of SMV with renal vein graft

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  • Case Description

    • A 62 year old man was referred for management of the finding of a tumour in the head and neck of the pancreas.
    • The tumour occluded the portal vein, leading to development of collateral branches in and around the pancreas head.
    • The tumour also enveloped the celiac trunk, the left gastric artery, the splenic artery, the common hepatic artery and the gastro-duodenal artery.
    • A total pancreatectomy with splenectomy was proposed, with reconstruction of the celiac trunk and the SMV.