Dardik H, Dardik I I, Spreyregen S, Becker N, Gliedman M L
Am J Surg. 1975 Jun;129(6):691-3. doi: 10.1016/0002-9610(75)90347-5.
Total pancreaticoduodenectomy with resection of the superior mesenteric artery and vein was performed in a sixty-two year old man with islet cell carcinoma of the pancreas. Arterial reconstruction was accomplished with an aortomesenteric interposition Dacron graft. The venous system was reanastomosed primarily, the infrapancreatic superior mesenteric vein to the portal vein in the hepatic hilum. This procedure, although it did not result in long-term survival, demonstrates the technical feasibility of wide regional resection for tumors of the pancreas impinging upon the mesenteric vasculature in the region of the neck and uncinate process.
对一名患有胰岛细胞癌的62岁男性实施了全胰十二指肠切除术，同时切除了肠系膜上动脉和静脉。采用主动脉-肠系膜间置涤纶移植片完成动脉重建。静脉系统主要进行了重新吻合，将胰下肠系膜上静脉与肝门处的门静脉进行吻合。该手术虽然未带来长期生存，但证明了对于侵犯胰颈部和钩突部肠系膜血管的胰腺肿瘤进行广泛区域切除在技术上的可行性。
