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Combined Inferior Vena Cava Resection during Pancreatoduodenectomy
Korean Journal of HBP Surgery 2009 Dec;13(4):301-6
Published online December 31, 2009
Copyright © 2009 Korean Journal of Hepato-Biliary-Pancreatic Sursery.

Yang Won Nah, M.D.1, Sang Jun Park, M.D.1, Je Ho Yi, M.D.1, Sung-Jo Bang, M.D.2

Departments of 1Surgery and 2Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
There is no consensus for the surgical indications, as well as the surgical technique, for the treatment of inferior vena cava (IVC) invasion by pancreas head cancer. The authors experienced a case of pancreas head cancer invading the anterior wall of the IVC. We performed en bloc excision of the anterior wall of the IVC combined with pancreatoduodenectomy in this case under the assumption that only a margin-negative surgical resection could offer a chance for cure. Technically, the sequence of dissection and addressing the IVC at the end of dissection are considered to be important to secure the operative field surrounding the IVC and to achieve a margin-negative resection. There has been no recurrence up to now, 8 months after the extensive radical operation.
Keywords : Pancreas cancer, Pancreatoduodenectomy, Inferior vena cava

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