Surgical Management of Pancreatic Cancer with Portal Vein Involvement

Patient Profile:

  • Age: 60 years
  • Gender: Male

Presenting Complaint:

  • Pain in the abdomen

Diagnostic Imaging:

  • CT scan of the abdomen revealed a tumor in the pancreas involving the portal vein and abutting the Superior mesenteric artery (SMA).

A 60-year-old gentleman Presented with pain in the abdomen. He was investigated with a CT scan of the abdomen which showed a Tumor in the pancreas involving the portal vein and abutting the Superior mesmeric artery. He was referred to us for portal vein resection ( HPB &Liver transplant surgeon). We did an EUS and took a biopsy which confirmed pancreatic cancer. We. performed a Whipple procedure. We Used the SMA first approach. Completely bared the SMA and removed the complete Uncinate process. The duct was very small. Difficult to canulate with a 24 gauge cannula. Serially dilated the duct up to 20 cannula and did a duct to mucosa PJ. The patient was discharged on POD 12.

This case highlights the complex surgical management of pancreatic cancer with portal vein involvement. The Whipple procedure, performed with meticulous technique and innovative approaches, can lead to successful outcomes even in challenging cases. Close postoperative monitoring and follow-up are crucial for the patient’s recovery and long-term prognosis.

Surgical Management of Pancreatic Cancer with Portal Vein Involvement:

Tags:

Dr. Manoj Dongare
Surgical Oncologist
Cancer Specialist
Cancer Surgeon
Cancer Treatment
Cancer Surgery
Pancreatic cancer
Whipples procedure
Distal pancreatectomy
HPB Surgeon
HPB Surgery
Portal vein resection
Pancreas surgery

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