oncotomskСибирский онкологический журналSiberian journal of oncology1814-48612312-3168Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences10.21294/1814-4861-2016-15-6-55-60oncotomsk-447Research ArticleОПЫТ РАБОТЫ ОНКОЛОГИЧЕСКИХ УЧРЕЖДЕНИЙONCOLOGY PRACTICEПРЕДОПЕРАЦИОННАЯ ЭМБОЛИЗАЦИЯ ОБЩЕЙ ПЕЧЕНОЧНОЙ АРТЕРИИ У БОЛЬНЫХ С ОПУХОЛЯМИ ТЕЛА И ХВОСТА ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ С ИНВАЗИЕЙ ЧРЕВНОГО СТВОЛАPREOPERATIVE EMBOLIZATION OF THE COMMON HEPATIC ARTERY IN PATIENTS WITH PANCREATIC BODY AND TAIL TUMORS INVADING THE CELIAC TRUNKАбгарянМ. Г.AbgaryanM. G.

Абгарян Микаэл Грантович - кандидат медицинских наук, старший научный сотрудник хирургического отделения № 6, торакоабдоминального отдела.

115478, г. Москва, Каширское шоссе, 24. E-mail: abgaryan.mikael@gmail.com. AuthorID: : 601950

Abgaryan Mikael G. - MD, PhD, Senior Researcher, Surgical department 6.

24, Kashirskoe shosse, 15478-Moscow, Russia. E-mail: abgaryan.mikael@gmail.com. AuthorlD: 601950

abgaryan.mikael@gmail.comВиршкеЭ. Р.VirshkeE. R.

Виршке Эдуард Рейнгольдович - доктор медицинских наук, руководитель лаборатории интервенционной радиологии.

Virshke Eduard G. - MD, DSc, Head of the Laboratory of Interventional Radiology.

24, Kashirskoe shosse, 15478-Moscow, Russia. E-mail: virshke@mail.ru. SPIN-code: 8054-1162

virshke@mail.ruКудашкинН. Е.KudashkinN. Е.

Кудашкин Николай Евгеньевич - научный сотрудник отделения опухолей печени и поджелудочной железы.

Kudashkin Nikolay Ye. - MD, Researcher, Researcher of Department of Tumors of the Liver and Pancreas.

24, Kashirskoe shosse, 15478-Moscow, Russia. E-mail: dr.kudashkin@mail.ru. SPIN-code: 3574-8344

dr.kudashkin@mail.ruРоссийский онкологический научный центр имени Н.Н. БлохинаРоссияN.N. Blokhin Russian Cancer Research CenterRussian Federation2016291220161565560Copyright © Абгарян М.Г., Виршке Э.Р., Кудашкин Н.Е., 20162016Абгарян М.Г., Виршке Э.Р., Кудашкин Н.Е.Abgaryan M.G., Virshke E.R., Kudashkin N.Е.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.siboncoj.ru/jour/article/view/447

Цель исследования – оценить эффективность предоперационной эмболизации общей печеночной артерии у больных с инвазией чревного ствола при раке тела и хвоста поджелудочной железы. Материал и методы. Дистальная субтотальная резекция поджелудочной железы с резекцией чревного ствола и общей печеночной артерии произведена 22 больным. Из них у 6 была выполнена предоперационная эмболизация общей печеночной артерии. Результаты. У всех больных, которым была предпринята попытка предоперационной эмболизации общей печеночной артерии, удалось полностью перекрыть кровоток по указанной артерии, несмотря на наличие инвазии чревного ствола. Осложнений при выполнении рентгеноэндоваскулярного вмешательства не было. При контрольной ангиографии (верхняя мезентерикография) во всех случаях отмечалось адекватное кровоснабжение печени за счет развития коллатерального кровотока из бассейна верхней брыжеечной артерии. В послеоперационном периоде ишемических осложнений со стороны печени не отмечено. Выводы. Предоперационная эмболизация общей печеночной артерии является безопасной процедурой, позволяющей предотвратить риск развития ишемических осложнений у больных, перенесших дистальную субтотальную резекцию поджелудочной железы с резекцией чревного ствола и общей печёночной артерии без пластики.

The purpose of the study was to evaluate the efficacy of preoperative embolization of the common hepatic artery in patients with pancreatic body and tail cancer invading the celiac trunk. Material and Methods. Twenty-two patients underwent distal subtotal pancreatectomy with resection of the celiac trunk and the common hepatic artery. Of these 22 patients, 6 underwent preoperative embolization of the common hepatic artery. Results. In spite of invasion of the celiac trunk, the hepatic arterial blood flow was completely blocked in all patients who underwent preoperative embolization of the common hepatic artery.   No complications related to endovascular intervention were found. In all cases, control angiography showed an adequate blood supply to the liver due to collateral circulation from the superior mesenteric artery. No ischemic complications were observed in postoperative period.  Conclusion. Preoperative embolization of the common hepatic artery appeared to be a safe procedure that could prevent the risk of ischemic complications in patients undergoing distal subtotal pancreatectomy with resection of the celiac trunk and the common hepatic artery without plastics.

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The authors declare that there are no conflicts of interest present.