Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach for pancreatic body and tail cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 PENG Bing , OUYANG Guoqing , WANG Xin , CAI Yunqiang , GAO Pan , MENG Lingwei

Department of Pancreatic Surgery, West China Hospital, Sichuan University. Chengdu 610041, P. R. China;

Corresponding author：

PENG Bing, Email: pengbing84@hotmail.com

Keywords：

adenocarcinomas of the left pancreas; radical antegrade modular pancreatosplenectomy; laparoscopy; the ligament of Treitz

DOI：

10.7507/1007-9424.201809015

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the feasibility and safety of l aparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach for pancreatic body and tail cancer. Methods On 13^th November 2017, we selected a patient with a suspicious malignant tumor in the body of pancreas but no evidence of metastasis or local invasion of the retroperitoneum for laparoscopic antegrade modular pancreatosplenectomy through the ligament of Treitz approach. The time of operation, the estimated blood loss, and post-operative complications were observed. Results The procedure was completed successfully in 255 min, and the estimated blood loss was 200 mL, there was no need of transfusion and no significant post-operational complications had been observed. No tumor recurrence or distal metastasis was found after a 12 month’s follow-up. Conclusion Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach is a feasible and safe procedure for pancreatic body and tail malignant tumor in strictly selected patients.

Citation： PENG Bing, OUYANG Guoqing, WANG Xin, CAI Yunqiang, GAO Pan, MENG Lingwei. Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach for pancreatic body and tail cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(4): 458-462. doi: 10.7507/1007-9424.201809015 Copy

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2.	Choi SH, Kang CM, Lee WJ, et al. Multimedia article. Laparoscopic modified anterior RAMPS in well-selected left-sided pancreatic cancer: technical feasibility and interim results. Surg Endosc, 2011, 25(7): 2360-2361.
3.	Li H, Zeng MS, Zhou KR, et al. Pancreatic adenocarcinoma: the different CT criteria for peripancreatic major arterial and venous invasion. J Comput Assist Tomogr, 2005, 29(2): 170-175.
4.	Sunagawa H, Harumatsu T, Kinjo S, et al. Ligament of Treitz approach in laparoscopic modified radical antegrade modular pancreatosplenectomy: report of three cases. Asian J Endosc Surg, 2014, 7(2): 172-174.
5.	Kawabata Y, Hayashi H, Takai K, et al. Superior mesenteric artery-first approach in radical antegrade modular pancreatosplenectomy for borderline resectable pancreatic cancer: a technique to obtain negative tangential margins. J Am Coll Surg, 2015, 220(5): e49-e54.
6.	徐鋆耀, 陈亚进. 腹腔镜下经 Treitz 韧带途径肠系膜上动脉优先的根治性顺行模块化胰脾切除术. 国际外科学杂志, 2017, 44(9): 625-627.
7.	Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery, 2003, 133(5): 521-527.
8.	Strasberg SM, Linehan DC, Hawkins WG. Radical antegrade modular pancreatosplenectomy procedure for adenocarcinoma of the body and tail of the pancreas: ability to obtain negative tangential margins. J Am Coll Surg, 2007, 204(2): 244-249.
9.	Ome Y, Hashida K, Yokota M, et al. Laparoscopic radical antegrade modular pancreatosplenectomy for left-sided pancreatic cancer using the ligament of Treitz approach. Surg Endosc, 2017, 31(11): 4836-4837.
10.	Nakayama Y, Yamashita Y, Kadota M, et al. Vascular encasement by pancreatic cancer: correlation of CT findings with surgical and pathologic results. J Comput Assist Tomogr, 2001, 25(3): 337-342.
11.	Kang CM, Lee SH, Lee WJ. Minimally invasive radical pancreatectomy for left-sided pancreatic cancer: current status and future perspectives. World J Gastroenterol, 2014, 20(9): 2343-2351.
12.	Lee SH, Kang CM, Hwang HK, et al. Minimally invasive RAMPS in well-selected left-sided pancreatic cancer within Yonsei criteria: long-term (>median 3 years) oncologic outcomes. Surg Endosc, 2014, 28(10): 2848-2855.

1. Bockhorn M, Uzunoglu FG, Adham M, et al. Borderline resectable pancreatic cancer: a consensus statement by the International Study Group of Pancreatic Surgery (ISGPS). Surgery, 2014, 155(6): 977-988.
2. Choi SH, Kang CM, Lee WJ, et al. Multimedia article. Laparoscopic modified anterior RAMPS in well-selected left-sided pancreatic cancer: technical feasibility and interim results. Surg Endosc, 2011, 25(7): 2360-2361.
3. Li H, Zeng MS, Zhou KR, et al. Pancreatic adenocarcinoma: the different CT criteria for peripancreatic major arterial and venous invasion. J Comput Assist Tomogr, 2005, 29(2): 170-175.
4. Sunagawa H, Harumatsu T, Kinjo S, et al. Ligament of Treitz approach in laparoscopic modified radical antegrade modular pancreatosplenectomy: report of three cases. Asian J Endosc Surg, 2014, 7(2): 172-174.
5. Kawabata Y, Hayashi H, Takai K, et al. Superior mesenteric artery-first approach in radical antegrade modular pancreatosplenectomy for borderline resectable pancreatic cancer: a technique to obtain negative tangential margins. J Am Coll Surg, 2015, 220(5): e49-e54.
6. 徐鋆耀, 陈亚进. 腹腔镜下经 Treitz 韧带途径肠系膜上动脉优先的根治性顺行模块化胰脾切除术. 国际外科学杂志, 2017, 44(9): 625-627.
7. Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery, 2003, 133(5): 521-527.
8. Strasberg SM, Linehan DC, Hawkins WG. Radical antegrade modular pancreatosplenectomy procedure for adenocarcinoma of the body and tail of the pancreas: ability to obtain negative tangential margins. J Am Coll Surg, 2007, 204(2): 244-249.
9. Ome Y, Hashida K, Yokota M, et al. Laparoscopic radical antegrade modular pancreatosplenectomy for left-sided pancreatic cancer using the ligament of Treitz approach. Surg Endosc, 2017, 31(11): 4836-4837.
10. Nakayama Y, Yamashita Y, Kadota M, et al. Vascular encasement by pancreatic cancer: correlation of CT findings with surgical and pathologic results. J Comput Assist Tomogr, 2001, 25(3): 337-342.
11. Kang CM, Lee SH, Lee WJ. Minimally invasive radical pancreatectomy for left-sided pancreatic cancer: current status and future perspectives. World J Gastroenterol, 2014, 20(9): 2343-2351.
12. Lee SH, Kang CM, Hwang HK, et al. Minimally invasive RAMPS in well-selected left-sided pancreatic cancer within Yonsei criteria: long-term (>median 3 years) oncologic outcomes. Surg Endosc, 2014, 28(10): 2848-2855.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic radical antegrade modular pancreatosplenectomy through the ligament of Treitz approach for pancreatic body and tail cancer

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