{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:30:12Z","timestamp":1776299412732,"version":"3.50.1"},"reference-count":3,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018950","name":"Centre Hospitalier Universitaire de Rennes","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018950","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Surgical treatment of pancreatic tumors invading the celiac axis is increasingly performed following induction therapy. This generally consists of a pancreatosplenectomy with celiac axis resection. When performed without revascularization, it is classified as IA.\n                    <jats:sup>1<\/jats:sup>\n                    This video presents a 52-year-old patient with no medical history, in whom a pancreatic body mass was incidentally discovered. Imaging revealed a locally advanced lesion involving the celiac axis, contacting the superior mesenteric artery and the portal\u2013mesenteric confluence. Biopsies were noncontributory, CA 19-9 was normal, and the staging workup was negative. After multidisciplinary discussion, induction therapy was recommended. The patient received 12 courses of FOLFIRINOX followed by 50.4\u00a0Gy radiochemotherapy with capecitabine. In the absence of progression, surgical resection was undertaken.  Preoperative hepatic and left gastric artery embolization was performed to promote collateral circulation and reduce postoperative morbidity.\n                    <jats:sup>2,3<\/jats:sup>\n                    A distal splenopancreatectomy with celiac axis resection, full isolation of the superior mesenteric artery, and lateral resection of the portal\u2013mesenteric axis including the splenic vein origin were performed. Venous reconstruction was achieved using a peritoneal patch. The procedure was uneventful, and postoperative recovery was uncomplicated. Locally advanced pancreatic body tumors involving the celiac trunk and\/or superior mesenteric artery may be suitable for resection after optimal neoadjuvant therapy and preoperative vascular conditioning. Such complex procedures require a multidisciplinary approach and should be performed in specialized pancreatic surgery centers with interventional radiology expertise in selective embolization.\n                  <\/jats:p>","DOI":"10.1245\/s10434-026-19094-2","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T17:43:14Z","timestamp":1769535794000},"page":"3948-3949","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Class IA Pancreatosplenectomy with Class IA Celiac Axis Resection, SMA Isolation, and Lateral Venous Reconstruction with Peritoneal Patch: A Standardized Technique"],"prefix":"10.1245","volume":"33","author":[{"given":"Valentin","family":"Artaud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Giudcelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Sulpice","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"issue":"1","key":"19094_CR1","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.jamcollsurg.2020.05.005","volume":"231","author":"MJ Truty","year":"2020","unstructured":"Truty MJ, Colglazier JJ, Mendes BC, et al. En bloc celiac axis resection for pancreatic cancer: classification of anatomical variants based on tumor extent. J Am Coll Surg. 2020;231(1):8\u201329. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2020.05.005.","journal-title":"J Am Coll Surg"},{"issue":"4","key":"19094_CR2","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/j.hpb.2023.01.007","volume":"25","author":"L De Crignis","year":"2023","unstructured":"De Crignis L, Garnier J, Ewald J, et al. Preoperative liver arterial conditioning in patients scheduled for a Mayo Clinic class IA distal pancreatectomy: Embolization or ligation? HPB. 2023;25(4):439\u201345. https:\/\/doi.org\/10.1016\/j.hpb.2023.01.007.","journal-title":"HPB"},{"issue":"4","key":"19094_CR3","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1007\/s00534-011-0455-9","volume":"19","author":"D Abo","year":"2012","unstructured":"Abo D, Hasegawa Y, Sakuhara Y, et al. Feasibility of a dual microcatheter-dual interlocking detachable coil technique in preoperative embolization in preparation for distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer. J Hepatobiliary Pancreat Sci. 2012;19(4):431\u20137. https:\/\/doi.org\/10.1007\/s00534-011-0455-9.","journal-title":"J Hepatobiliary Pancreat Sci"}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-026-19094-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-026-19094-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-026-19094-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T12:27:21Z","timestamp":1776256041000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-026-19094-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":3,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["19094"],"URL":"https:\/\/doi.org\/10.1245\/s10434-026-19094-2","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"assertion":[{"value":"16 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflicts of interest for this video.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosure"}}]}}