Detailed Abstract
[E-poster]
[EP023] Reconstructions of the celiac axis during surgery for benign and low malignant lesions
Nicolae BACALBASA*1, Irina BALESCU2, Simona DIMA1, Vladislav BRASOVEANU1, Irinel POPESCU1
1Center of Gastrointestinal Diseases and Liver Transplantation, Fundeni Clinical Institute, Rumania
2Visceral Surgery, Ponderas Academic Hospital, Rumania
Introduction : extended hepato-bilio-pancreatic resections involving the celiac axis or celiac branches might be needed in order to treat locally advanced hepato-bilio-pancreatic malignancies. However, in less frequent cases these resections might be also needed in order to treat pathological findings which finally prove to be benign conditions
Methods : we present a case series of two patients in whom celiac axis or celiac branch resection followed by reimplantation were needed in order to treat benign conditions
Results : in the first case the presence of a tumor with poor imagistic aspects and high suspicion of malignancy was performed en bloc with the area of invasion at the level of the celiac axis, the common hepatic artery being further reimplanted at the level of the celiac stump. The histopathological findings confirmed the presence of a neuroendocrine tumor with low malignant features. In the second case the presence of idiopathic celiac axis stenosis was demonstrated preoperatively and was treated by resection of the stenotic segment and reconstruction using splenic patch. In both cases normal liver function was demonstrated at 48 hours and 10 days post-operatively.
Conclusions : even in cases presenting low malignant or even benign conditions major vascular resections might be needed; however, an adequate liver function can be achieved if the reconstruction of the resected segments is efficient.
Methods : we present a case series of two patients in whom celiac axis or celiac branch resection followed by reimplantation were needed in order to treat benign conditions
Results : in the first case the presence of a tumor with poor imagistic aspects and high suspicion of malignancy was performed en bloc with the area of invasion at the level of the celiac axis, the common hepatic artery being further reimplanted at the level of the celiac stump. The histopathological findings confirmed the presence of a neuroendocrine tumor with low malignant features. In the second case the presence of idiopathic celiac axis stenosis was demonstrated preoperatively and was treated by resection of the stenotic segment and reconstruction using splenic patch. In both cases normal liver function was demonstrated at 48 hours and 10 days post-operatively.
Conclusions : even in cases presenting low malignant or even benign conditions major vascular resections might be needed; however, an adequate liver function can be achieved if the reconstruction of the resected segments is efficient.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY