Abstract
Pancreatic body cancer is often judged to be unresectable due to vascular infiltration. When there is infiltration of the coeliac-artery by pancreatic cancer, some cases can be resectable. We removed the embolus of the common hepatic artery and maintained hepatic blood flow by a collateral pathway. After that, we performed distal pancreatectomy with en bloc celiac axis resection (DP-CAR). Herein, we report a case of a 68-year-old man with local advanced pancreatic body and tail cancer, who underwent distal pancreatectomy with en bloc celiac axis resection after neoadjuvant chemotherapy and embolus of the common hepatic artery. Since there was a decline of hepatic blood flow, intraoperatively, we therefore performed proper hepatic artery-jejunal artery bypass surgery. We report this rare case with a review of the literature.
