Total pancreatectomy
With reconstruction of celiac artery with saphenous vein graft, and reconstruction of SMV with renal vein graft
00:05 SURGICAL PLANNING
02:08 Opening & Exposure
02:23 Portal Dissection
03:03 Gaining exposure to celiac root
04:25 Exposing the SMV, SMA
06:11 Harvesting the left renal vein graft
06:53 Harvesting the saphenous vein graft
07:16 Celiac artery reconstruction
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.
CT scans (arterial phase)
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CT scans (venous phase)
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