FROM LEFT TO RIGHT. PARA-AORTIC LYMPH NODES SAMPLING DURING PANCREATODUODENECTOMY FOR PANCREATIC CANCER

DA ESQUERDA PARA A DIREITA. RESSECÇÃO DE LINFONODOS PARA-AÓRTICOS DURANTE DUODENOPANCREATECTOMIA PARA CÂNCER PANCREÁTICO

ABSTRACT

BACKGROUND:

Para-aortic lymph nodes involvement in pancreatic head cancer has been described as an independent adverse prognostic factor. To avoid futile pancreatic resection, we systematically perform para-aortic lymphadenectomy as a first step.

AIMS:

To describe our technique for para-aortic lymphadenectomy.

METHODS:

A 77-year-old female patient, with jaundice and resectable pancreatic head adenocarcinoma, underwent pancreaticoduodenectomy associated with infracolic lymphadenectomy.

RESULTS:

The infracolic anterior technique has two main advantages. It is faster and prevents the formation of postoperative adhesions, which can make subsequent surgical interventions more difficult.

CONCLUSIONS:

We recommend systematic para-aortic lymphadenectomy as the first step of pancreaticoduodenectomy for pancreatic head adenocarcinoma by this approach.

HEADINGS:
Pancreatic Neoplasms; Neoplasm Staging; Lymph Node Excision; Pancreaticoduodenectomy