A Thought-Provoking Case of Successfully Treated Carcinoma of the Head of the Pancreas with Metachronous Lung Metastasis: Impact of Distal Spleno-Renal Shunt for Regional Invasion on Long-Term Period after Pancreaticoduodenectomy

<div>Long-term patency of the distal splenorenal shunt. (a) Schemas for venous reconstructions during pancreaticoduodenectomy. (b) Three-dimensional imagery at 5 years and 6 months after the initial surgery shows that the distal splenorenal shunt has maintained good patency. The estimated splenic volume is 35 mL. LRV: left renal vein; IVC: inferior vena cava; PV: portal vein; SMA: superior mesenteric artery; SMV: superior mesenteric vein; SpA: splenic artery; SpV: splenic vein.</div>

Case Reports in Surgery

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Figure 4: A Thought-Provoking Case of Successfully Treated Carcinoma of the Head of the Pancreas with Metachronous Lung Metastasis: Impact of Distal Spleno-Renal Shunt for Regional Invasion on Long-Term Period after Pancreaticoduodenectomy 

Figure 4 | A Thought-Provoking Case of Successfully Treated Carcinoma of the Head of the Pancreas with Metachronous Lung Metastasis: Impact of Distal Spleno-Renal Shunt for Regional Invasion on Long-Term Period after Pancreaticoduodenectomy 