0
ARTICLE |

Vascular Problems in Upper Abdominal Cancer Surgery

Joseph G. Fortner, MD; David W. Kinne, MD; Dong K. Kim, MD; El B. Castro, MD; Man H. Shiu, MD; Edward J. Beattie Jr., MD
Arch Surg. 1974;109(2):148-153. doi:10.1001/archsurg.1974.01360020010003.
Text Size: A A A
Published online

Involvement of major vascular structures by a malignant neoplasm frequently militates against performing an adequate cancer operation. Traditionally such involvement is regarded as a contraindication to resection of intra-abdominal cancer. Using modern vascular surgical principles and techniques, it is feasible to resect involved portions of the portal vein, inferior vena cava, celiac axis, and superior mesenteric artery with en bloc extirpation of hepatic, pancreatic, and retroperitoneal tumors. A series of 17 such resections are reported with vascular reconstruction in many instances. All patients had extensive lesions; all but one had undergone exploratory surgery and were regarded as unresectable elsewhere. There were no operative deaths. Five patients died in the early postoperative period of complications. Twelve patients survived more than three months, with eight alive for periods ranging up to 30 months after surgery.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();