{"id":"https://openalex.org/W7213536738","doi":"https://doi.org/10.12659/ajcr.953367","title":"A 61-Year-Old Woman With Locally Advanced Pancreatic Adenocarcinoma Managed With Neoadjuvant FOLFIRINOX, Total Pancreatectomy, Splenectomy, Portal Vein and Common Hepatic Artery Resection, and Combined Vascular Reconstruction Using Splenic Artery Transposition: A Case Report","display_name":"A 61-Year-Old Woman With Locally Advanced Pancreatic Adenocarcinoma Managed With Neoadjuvant FOLFIRINOX, Total Pancreatectomy, Splenectomy, Portal Vein and Common Hepatic Artery Resection, and Combined Vascular Reconstruction Using Splenic Artery Transposition: A Case Report","publication_year":2026,"publication_date":"2026-09-18","ids":{"openalex":"https://openalex.org/W7213536738","doi":"https://doi.org/10.12659/ajcr.953367","pmid":"https://pubmed.ncbi.nlm.nih.gov/42952105","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13729682"},"language":"en","primary_location":{"id":"doi:10.12659/ajcr.953367","doi":"https://doi.org/10.12659/ajcr.953367","is_oa":true,"landing_page_url":"https://doi.org/10.12659/ajcr.953367","pdf_url":"https://amjcaserep.com/download/inPress/idArt/953367","source":{"id":"https://openalex.org/S2756455307","display_name":"American Journal of Case Reports","issn_l":"1941-5923","issn":["1941-5923"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://amjcaserep.com/download/inPress/idArt/953367","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034295417","display_name":"Javier Chapochnick","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138821","display_name":"Clinica Santa Maria","ror":"https://ror.org/04s1kgp90","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210138821"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Javier Chapochnick","raw_affiliation_strings":["Department of Surgery, Clinica Santa Maria, Santiago, Chile"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Clinica Santa Maria, Santiago, Chile","institution_ids":["https://openalex.org/I4210138821"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063990506","display_name":"Carlos Derosas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138821","display_name":"Clinica Santa Maria","ror":"https://ror.org/04s1kgp90","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210138821"]}],"countries":["CL"],"is_corresponding":false,"raw_author_name":"Carlos Derosas","raw_affiliation_strings":["Department of Surgery, Clinica Santa Maria, Santiago, Chile"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Clinica Santa Maria, Santiago, Chile","institution_ids":["https://openalex.org/I4210138821"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010288146","display_name":"Juan Alejandro Gonzalez","orcid":"https://orcid.org/0009-0009-1574-8015","observed_orcids":["https://orcid.org/0009-0009-1574-8015"]},"institutions":[{"id":"https://openalex.org/I4210138821","display_name":"Clinica Santa Maria","ror":"https://ror.org/04s1kgp90","country_code":"CL","type":"healthcare","lineage":["https://openalex.org/I4210138821"]}],"countries":["CL"],"is_corresponding":true,"raw_author_name":"Juan Alejandro Gonzalez","raw_affiliation_strings":["Department of Surgery, Clinica Santa Maria, Santiago, Chile"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Clinica Santa Maria, Santiago, Chile","institution_ids":["https://openalex.org/I4210138821"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5010288146"],"corresponding_institution_ids":["https://openalex.org/I4210138821"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65839953,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"27","issue":null,"first_page":"e953367","last_page":"e953367"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10754","display_name":"Neuroendocrine Tumor Research Advances","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11364","display_name":"Cholangiocarcinoma and Gallbladder Cancer Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatic-ductal-adenocarcinoma","display_name":"pancreatic ductal adenocarcinoma","score":0.906000018119812},{"id":"https://openalex.org/keywords/locally-advanced-pancreatic-cancer","display_name":"locally advanced pancreatic cancer","score":0.9750000238418579},{"id":"https://openalex.org/keywords/portal-vein-resection","display_name":"portal vein resection","score":0.6779999732971191},{"id":"https://openalex.org/keywords/total-pancreatectomy","display_name":"total pancreatectomy","score":0.9240000247955322},{"id":"https://openalex.org/keywords/splenectomy","display_name":"splenectomy","score":0.996999979019165},{"id":"https://openalex.org/keywords/vascular-reconstruction","display_name":"vascular reconstruction","score":0.7900000214576721},{"id":"https://openalex.org/keywords/portal-vein-anastomosis","display_name":"portal vein anastomosis","score":0.7950000166893005},{"id":"https://openalex.org/keywords/chylous-fistula","display_name":"chylous fistula","score":0.8569999933242798},{"id":"https://openalex.org/keywords/lung-metastasis","display_name":"lung metastasis","score":0.7799999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9898999929428101},{"id":"https://openalex.org/C2780333324","wikidata":"https://www.wikidata.org/wiki/Q707326","display_name":"Splenic artery","level":2,"score":0.7103999853134155},{"id":"https://openalex.org/C2776390723","wikidata":"https://www.wikidata.org/wiki/Q707236","display_name":"Common hepatic artery","level":3,"score":0.6514999866485596},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5852000117301941},{"id":"https://openalex.org/C2779033008","wikidata":"https://www.wikidata.org/wiki/Q464543","display_name":"Portal vein","level":2,"score":0.5037000179290771},{"id":"https://openalex.org/C2781182431","wikidata":"https://www.wikidata.org/wiki/Q356033","display_name":"Adenocarcinoma","level":3,"score":0.4828999936580658},{"id":"https://openalex.org/C2776981413","wikidata":"https://www.wikidata.org/wiki/Q3091615","display_name":"Splenic vein","level":4,"score":0.4223000109195709},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.39100000262260437},{"id":"https://openalex.org/C2992026798","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic ductal adenocarcinoma","level":4,"score":0.38760000467300415},{"id":"https://openalex.org/C2778808290","wikidata":"https://www.wikidata.org/wiki/Q124604","display_name":"Portal hypertension","level":3,"score":0.36410000920295715},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3553999960422516},{"id":"https://openalex.org/C2778764654","wikidata":"https://www.wikidata.org/wiki/Q9618","display_name":"Pancreas","level":2,"score":0.3434999883174896},{"id":"https://openalex.org/C2781064879","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Common carotid artery","level":3,"score":0.31940001249313354},{"id":"https://openalex.org/C2776309230","wikidata":"https://www.wikidata.org/wiki/Q580383","display_name":"Splenectomy","level":3,"score":0.31779998540878296},{"id":"https://openalex.org/C2777202286","wikidata":"https://www.wikidata.org/wiki/Q9609","display_name":"Vein","level":2,"score":0.311599999666214},{"id":"https://openalex.org/C2780210213","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic cancer","level":3,"score":0.3003999888896942},{"id":"https://openalex.org/C2777575454","wikidata":"https://www.wikidata.org/wiki/Q751322","display_name":"Superior mesenteric vein","level":3,"score":0.2971999943256378},{"id":"https://openalex.org/C2778292576","wikidata":"https://www.wikidata.org/wiki/Q6991934","display_name":"Neoadjuvant therapy","level":4,"score":0.29100000858306885},{"id":"https://openalex.org/C2779959501","wikidata":"https://www.wikidata.org/wiki/Q707257","display_name":"Common iliac artery","level":3,"score":0.2833999991416931},{"id":"https://openalex.org/C2781046184","wikidata":"https://www.wikidata.org/wiki/Q367570","display_name":"Superior mesenteric artery","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C56900294","wikidata":"https://www.wikidata.org/wiki/Q7231497","display_name":"Portal venous pressure","level":4,"score":0.27639999985694885},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.2687000036239624},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25459998846054077}],"mesh":[{"descriptor_ui":"D000077146","descriptor_name":"Irinotecan","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000077150","descriptor_name":"Oxaliplatin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D000230","descriptor_name":"Adenocarcinoma","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D000971","descriptor_name":"Antineoplastic Combined Chemotherapy Protocols","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D002955","descriptor_name":"Leucovorin","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005472","descriptor_name":"Fluorouracil","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D006499","descriptor_name":"Hepatic Artery","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010180","descriptor_name":"Pancreatectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D011169","descriptor_name":"Portal Vein","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D011169","descriptor_name":"Portal Vein","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D013156","descriptor_name":"Splenectomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013157","descriptor_name":"Splenic Artery","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D020360","descriptor_name":"Neoadjuvant Therapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.12659/ajcr.953367","doi":"https://doi.org/10.12659/ajcr.953367","is_oa":true,"landing_page_url":"https://doi.org/10.12659/ajcr.953367","pdf_url":"https://amjcaserep.com/download/inPress/idArt/953367","source":{"id":"https://openalex.org/S2756455307","display_name":"American Journal of Case Reports","issn_l":"1941-5923","issn":["1941-5923"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13729682","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13729682/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13729682/pdf/amjcaserep-27-e953367.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am J Case Rep","raw_type":"Text"},{"id":"pmid:42952105","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42952105","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of case reports","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.12659/ajcr.953367","doi":"https://doi.org/10.12659/ajcr.953367","is_oa":true,"landing_page_url":"https://doi.org/10.12659/ajcr.953367","pdf_url":"https://amjcaserep.com/download/inPress/idArt/953367","source":{"id":"https://openalex.org/S2756455307","display_name":"American Journal of Case Reports","issn_l":"1941-5923","issn":["1941-5923"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","medline","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213536738.pdf","grobid_xml":"https://content.openalex.org/works/W7213536738.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3135063197","https://openalex.org/W3110017556","https://openalex.org/W3082346171","https://openalex.org/W2890642003","https://openalex.org/W2425508474","https://openalex.org/W1544208023","https://openalex.org/W7222852208","https://openalex.org/W2894562976","https://openalex.org/W201243796","https://openalex.org/W4409201056"],"abstract_inverted_index":{"BACKGROUND":[0],"This":[1,202],"report":[2],"describes":[3],"a":[4,111,148,182],"61-year-old":[5],"patient":[6,51,189],"with":[7,21,24,53,108,155,173],"locally":[8],"advanced":[9],"pancreatic":[10,72,152],"adenocarcinoma":[11],"involving":[12],"the":[13,117,141,205],"portal":[14,34,45,92,113,210,221],"vein":[15,35,46,93,114,211,222],"and":[16,28,36,41,44,56,75,94,104,116,130,163,176,212,224],"common":[17,37,95,118],"hepatic":[18,38,96,119,131,143,213],"artery,":[19],"managed":[20,172],"neoadjuvant":[22],"chemotherapy":[23],"leucovorin,":[25],"fluorouracil,":[26],"irinotecan,":[27],"oxaliplatin":[29],"(FOLFIRINOX),":[30],"total":[31,217],"pancreatectomy,":[32,218],"splenectomy,":[33],"artery":[39,97,138,214,226],"resection,":[40],"combined":[42],"arterial":[43,132,230],"reconstruction.":[47],"CASE":[48],"REPORT":[49],"The":[50,188],"presented":[52],"progressive":[54],"jaundice":[55],"an":[57],"elevated":[58],"carbohydrate":[59],"antigen":[60],"19-9":[61],"(CA":[62],"19-9)":[63],"level":[64],"of":[65,87,110,158,208],"210":[66],"U/mL.":[67],"Endoscopic":[68],"ultrasound-guided":[69],"biopsy":[70],"confirmed":[71],"ductal":[73,153],"adenocarcinoma,":[74,154],"imaging":[76],"demonstrated":[77,147],"major":[78],"vascular":[79],"involvement":[80,98],"without":[81,99,198],"distant":[82],"metastases.":[83],"After":[84],"12":[85],"cycles":[86],"FOLFIRINOX,":[88],"restaging":[89],"showed":[90],"persistent":[91],"metastatic":[100],"disease.":[101],"Total":[102],"pancreatectomy":[103],"splenectomy":[105],"were":[106],"performed":[107],"resection":[109,215],"4-cm":[112],"segment":[115],"artery.":[120,144],"Portal":[121],"venous":[122],"continuity":[123],"was":[124,134,171,186],"restored":[125],"by":[126,136],"primary":[127,220],"end-to-end":[128],"anastomosis,":[129],"inflow":[133],"reconstructed":[135],"splenic":[137,225],"transposition":[139,227],"to":[140,228],"proper":[142],"Final":[145],"pathology":[146],"1.3-cm":[149],"moderately":[150],"differentiated":[151],"2":[156],"out":[157],"41":[159],"lymph":[160],"nodes":[161],"involved":[162],"negative":[164],"surgical":[165],"margins.":[166],"A":[167],"postoperative":[168],"chylous":[169],"fistula":[170],"percutaneous":[174],"drainage":[175],"parenteral":[177],"nutrition.":[178],"At":[179],"15":[180],"months,":[181],"solitary":[183],"pulmonary":[184],"metastasis":[185],"resected.":[187],"died":[190],"27":[191],"months":[192],"after":[193],"surgery":[194],"from":[195],"severe":[196],"pneumonia":[197],"locoregional":[199],"recurrence.":[200],"CONCLUSIONS":[201],"case":[203],"illustrates":[204],"technical":[206],"management":[207],"simultaneous":[209],"during":[216],"using":[219],"anastomosis":[223],"restore":[229],"inflow.":[231]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-18T00:00:00"}
