Locally Advanced Cancer of the Head of the Pancreas Successfully Treated by Pancreaticoduodenectomy without Superior Mesenteric Vein Reconstruction

Abstract

A 60-year-old woman was diagnosed with locally advanced non-resectable pancreatic cancer due to superior mesenteric vein (SMV) involvement. Invasion with SMV narrowing was detected on the peripheral side of the middle colic vein (MCV) and inferior mesenteric vein (IMV), and collateral circulation to the MCV and IMV developed. Since no collateral vein was detected during the operation, pancreaticoduodenectomy was performed without SMV reconstruction. After the operation, the patient developed chylorrhea and was discharged from hospital 34 days after surgery. A rare case of pancreaticoduodenectomy without SMV reconstruction is presented along with a review of the literature.