ASO作者反思：切除、栓塞还是重建？关于DP-CAR期间肝动脉管理的持续问题。 - Suppr

ASO Author Reflections: To Resect, to Embolize, or to Reconstruct? Continuing Question Regarding Hepatic Artery Management During DP-CAR.

作者信息

Addeo Pietro, de Mathelin Pierre, Paul Chloe, Bachellier Philippe

机构信息

Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.

出版信息

Ann Surg Oncol. 2025 Mar;32(3):1821-1822. doi: 10.1245/s10434-024-16723-6. Epub 2024 Dec 25.

DOI:10.1245/s10434-024-16723-6

PMID:39722083

Abstract

摘要

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ASO Author Reflections: To Resect, to Embolize, or to Reconstruct? Continuing Question Regarding Hepatic Artery Management During DP-CAR.ASO作者反思：切除、栓塞还是重建？关于DP-CAR期间肝动脉管理的持续问题。

Ann Surg Oncol. 2025 Mar;32(3):1821-1822. doi: 10.1245/s10434-024-16723-6. Epub 2024 Dec 25.

Distal Pancreatectomy With En Bloc Celiac Axis Resection (DP-CAR) for Locally Advanced Pancreatic Cancer: A Safe and Effective Procedure.胰体尾癌整块联合腹腔干切除的安全性和有效性分析。

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Combined resection of the gastroduodenal artery without revascularization in distal pancreatectomy with en bloc celiac axis resection (extended DP-CAR) for pancreatic cancer: A case report.胰腺癌扩大根治性顺行模块化胰脾切除术（extended DP-CAR）中不进行血管重建的胃十二指肠动脉联合切除：一例报告

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ASO Author Reflections: Should We Resect the "Unresectable"? Since Alexis Carrel and Joseph G. Fortner, Almost 120 Years of (Pancreatic) Vascular Surgery in New York.《血管外科学年鉴》作者反思：我们是否应该切除“无法切除的”肿瘤？从亚历克西斯·卡雷尔到约瑟夫·G·福特纳，纽约近120年的（胰腺）血管外科发展历程

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Ann Surg Oncol. 2022 Feb;29(2):883-884. doi: 10.1245/s10434-021-10824-2. Epub 2021 Sep 19.

Distal pancreatectomy with resection of the celiac trunk, right or left hepatic artery without arterial reconstruction (extended DP-CAR).不进行动脉重建的情况下，切除腹腔干、右或左肝动脉的远端胰腺切除术（扩大的远端胰腺切除术 - 腹腔干切除）

Khirurgiia (Mosk). 2021(10):13-28. doi: 10.17116/hirurgia202110113.

ASO Author Reflections: Is It Truly Necessary to Resect the Thoracic Duct in Esophagectomy for Esophageal Cancer?ASO作者反思：食管癌食管切除术中真的有必要切除胸导管吗？

Ann Surg Oncol. 2019 Dec;26(Suppl 3):814. doi: 10.1245/s10434-019-07995-4. Epub 2019 Oct 28.

ASO Author Reflections: Aberrant Right Hepatic Artery Anatomy, an Independent Prognostic Factor for Hepatic Recurrence of Pancreatic Cancer.ASO作者反思：肝右动脉解剖变异，胰腺癌肝转移的独立预后因素

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Preservation of the left gastric artery on the basis of anatomical features in patients undergoing distal pancreatectomy with celiac axis en-bloc resection (DP-CAR).在接受联合腹腔干整块切除的远端胰腺切除术（DP-CAR）患者中，基于解剖学特征保留胃左动脉。

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Extended right surgical margin in distal pancreatectomy with celiac axis resection for pancreatic body cancer under the presence of replaced right hepatic artery; A case report.在存在替代右肝动脉的情况下，对胰体癌行胰体尾切除术并切除腹腔干时扩大右侧手术切缘：一例报告

Int J Surg Case Rep. 2020;76:557-560. doi: 10.1016/j.ijscr.2020.09.150. Epub 2020 Sep 24.

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ASO Author Reflections: Venous Drainage Through a Veno-Venous Bypass in Complex Hepatectomies: Another Piece of the Puzzle.ASO作者反思：复杂肝切除术中通过静脉-静脉旁路的静脉引流：拼图的另一块。

Ann Surg Oncol. 2025 Apr;32(4):2864-2865. doi: 10.1245/s10434-025-16884-y. Epub 2025 Jan 24.

本文引用的文献

Hepatectomy with Hepatic Vein Resection and Reconstruction Under Total Vascular Exclusion and Venous Drainage via a Venovenous Bypass: An Additional Approach for Complex Hepatectomies.全肝血流阻断下肝静脉切除与重建并经静脉转流行肝切除术：复杂肝切除术的一种补充方法

Ann Surg Oncol. 2025 Mar;32(3):1896-1897. doi: 10.1245/s10434-024-16744-1. Epub 2024 Dec 24.

Ann Surg. 2023 Dec 1;278(6):e1210-e1215. doi: 10.1097/SLA.0000000000005866. Epub 2023 Mar 30.

Preoperative liver arterial conditioning in patients scheduled for a Mayo Clinic class Ia distal pancreatectomy: embolization or ligation?计划在梅奥诊所进行Ia类远端胰腺切除术的患者的术前肝动脉预处理：栓塞还是结扎？

HPB (Oxford). 2023 Apr;25(4):439-445. doi: 10.1016/j.hpb.2023.01.007. Epub 2023 Jan 20.

Distal pancreatectomy with en bloc celiac axis resection (DP-CAR) and arterial reconstruction: Techniques and outcomes.胰体尾切除术联合整块腹腔动脉干切除术（DP-CAR）和动脉重建：技术与结果。

J Surg Oncol. 2021 Jun;123(7):1592-1598. doi: 10.1002/jso.26424. Epub 2021 Mar 8.

En Bloc Celiac Axis Resection for Pancreatic Cancer: Classification of Anatomical Variants Based on Tumor Extent.整块腹腔干切除术治疗胰腺癌：基于肿瘤范围的解剖变异分类。

J Am Coll Surg. 2020 Jul;231(1):8-29. doi: 10.1016/j.jamcollsurg.2020.05.005. Epub 2020 May 15.

Systematic review of outcomes after distal pancreatectomy with coeliac axis resection for locally advanced pancreatic cancer.远端胰腺切除术联合腹腔动脉切除治疗局部进展期胰腺癌的疗效的系统评价。

Br J Surg. 2016 Jul;103(8):941-9. doi: 10.1002/bjs.10148.

Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer: long-term results.联合腹腔干整块切除的远端胰腺切除术治疗局部进展期胰体癌：长期结果

Ann Surg. 2007 Jul;246(1):46-51. doi: 10.1097/01.sla.0000258608.52615.5a.

The coeliac axis in the expansion of the operation for gastric carcinoma.胃癌手术扩大根治术中的腹腔动脉

Cancer. 1953 Jul;6(4):704-7. doi: 10.1002/1097-0142(195307)6:4<704::aid-cncr2820060410>3.0.co;2-p.

A new technique for the resection of gastric cancer: modified Appleby procedure with reconstruction of hepatic artery.一种胃癌切除新技术：肝动脉重建的改良Appleby手术。

World J Surg. 1992 Sep-Oct;16(5):947-51. doi: 10.1007/BF02066997.

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ASO Author Reflections: To Resect, to Embolize, or to Reconstruct? Continuing Question Regarding Hepatic Artery Management During DP-CAR.

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