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Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm.

Kawaguchi M, Ishikawa N, Shimada M, Nishida Y, Moriyama H, Ohtake H, Watanabe G - Int J Surg Case Rep (2013)

Bottom Line: The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months.EVAR reduces retroperitoneal adhesions.A laparoscopic approach provides a small operative field and decreases mutual interference with AAA.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: surgkw@gmail.com.

No MeSH data available.


Related in: MedlinePlus

(A) Enhanced abdominal computed tomography scan of the portal vein phase showing a cystic tumor of 31-mm diameter in the pancreas head without dilatation of the main pancreatic duct. The intra-aortic endovascular stent is shown in the same slice. (B) Sagittal plane showing an infrarenal abdominal aortic aneurysm and the endovascular stent. An additional dotted line shows the laparoscopic axis from the umbilicus, which is apart from the aortic aneurysm.
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fig0005: (A) Enhanced abdominal computed tomography scan of the portal vein phase showing a cystic tumor of 31-mm diameter in the pancreas head without dilatation of the main pancreatic duct. The intra-aortic endovascular stent is shown in the same slice. (B) Sagittal plane showing an infrarenal abdominal aortic aneurysm and the endovascular stent. An additional dotted line shows the laparoscopic axis from the umbilicus, which is apart from the aortic aneurysm.

Mentions: A 70-year-old Japanese man was referred from vascular surgery for investigation of a pancreatic tumor, which was identified as a cystic tumor of the pancreas head by computed tomography (CT). Within 1.5 years, the tumor had grown from 16 to 31 mm. We suspected an intraductal papillary mucinous neoplasm (IPMN). He had a previous history of percutaneous coronary intervention for acute myocardial infarction when he was 66 years old and aortic stent grafting for an AAA when he was 68 years old. The AAA was located on the infrarenal aorta with a thrombus of 52 mm (Fig. 1). EVAR was performed using a Zenith AAA endovascular graft (Cook Inc., Bloomington, IN).


Laparoscopic pancreaticoduodenectomy after endovascular repair for abdominal aortic aneurysm.

Kawaguchi M, Ishikawa N, Shimada M, Nishida Y, Moriyama H, Ohtake H, Watanabe G - Int J Surg Case Rep (2013)

(A) Enhanced abdominal computed tomography scan of the portal vein phase showing a cystic tumor of 31-mm diameter in the pancreas head without dilatation of the main pancreatic duct. The intra-aortic endovascular stent is shown in the same slice. (B) Sagittal plane showing an infrarenal abdominal aortic aneurysm and the endovascular stent. An additional dotted line shows the laparoscopic axis from the umbilicus, which is apart from the aortic aneurysm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860024&req=5

fig0005: (A) Enhanced abdominal computed tomography scan of the portal vein phase showing a cystic tumor of 31-mm diameter in the pancreas head without dilatation of the main pancreatic duct. The intra-aortic endovascular stent is shown in the same slice. (B) Sagittal plane showing an infrarenal abdominal aortic aneurysm and the endovascular stent. An additional dotted line shows the laparoscopic axis from the umbilicus, which is apart from the aortic aneurysm.
Mentions: A 70-year-old Japanese man was referred from vascular surgery for investigation of a pancreatic tumor, which was identified as a cystic tumor of the pancreas head by computed tomography (CT). Within 1.5 years, the tumor had grown from 16 to 31 mm. We suspected an intraductal papillary mucinous neoplasm (IPMN). He had a previous history of percutaneous coronary intervention for acute myocardial infarction when he was 66 years old and aortic stent grafting for an AAA when he was 68 years old. The AAA was located on the infrarenal aorta with a thrombus of 52 mm (Fig. 1). EVAR was performed using a Zenith AAA endovascular graft (Cook Inc., Bloomington, IN).

Bottom Line: The patient has been well with neither recurrence of the tumor nor any cardiovascular events for 18 months.EVAR reduces retroperitoneal adhesions.A laparoscopic approach provides a small operative field and decreases mutual interference with AAA.

View Article: PubMed Central - PubMed

Affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8641, Japan. Electronic address: surgkw@gmail.com.

No MeSH data available.


Related in: MedlinePlus