PMID- 23443490 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130228 LR - 20211021 IS - 1948-9366 (Print) IS - 1948-9366 (Electronic) VI - 4 IP - 10 DP - 2012 Oct 27 TI - Extensive multiarterial resection attending total duodenopancreatectomy and adrenalectomy for MEN-1-associated neuroendocrine carcinomas. PG - 238-45 LID - 10.4240/wjgs.v4.i10.238 [doi] AB - Pancreatic neuroendocrine tumors (PNTs) are relatively uncommon although these neoplasms have been noted to grow in occurrence in recent decades. Surgical removal of locally advanced PNTs involving major vessels and adjacent organs is warranted by reason of an appreciably more favorable prognosis as compared to exocrine pancreas cancer. We are reporting a case of successful multi-organ resection combined with a wide excision of the superior mesenteric, common, proper, left and right hepatic arteries (in the presence of the hepatomesenteric trunk variant of aberrant arterial anatomy) for multifocal PNTs in the setting of multiple neuroendocrine neoplasia type 1 syndrome. The procedure resulted in pain abolition, a significant improvement in the patient's life quality and allowed her to return to work. Follow-up computed tomography at 15 mo post-surgery showed no evidence of disease recurrence. FAU - Egorov, Vyacheslav Ivanovich AU - Egorov VI AD - Vyacheslav Ivanovich Egorov, Sechenov First State Medical University, Ostroumov 14th City Hospital, Department of Surgical Oncology, 117997 Moscow, Russia. FAU - Kharazov, Alexander Felixovich AU - Kharazov AF FAU - Pavlovskaya, Alla Ivanovna AU - Pavlovskaya AI FAU - Petrov, Roman Valeryevich AU - Petrov RV FAU - Starostina, Natalia Sergeevna AU - Starostina NS FAU - Kondratiev, Eugeny Valerievich AU - Kondratiev EV FAU - Filippova, Ekaterina Mikhailovna AU - Filippova EM LA - eng PT - Journal Article PL - United States TA - World J Gastrointest Surg JT - World journal of gastrointestinal surgery JID - 101532473 PMC - PMC3582161 OTO - NOTNLM OT - Islet cell tumors OT - Multiple endocrine neoplasia type 1 syndrome OT - Neuroendocrine carcinoma OT - Pancreatic neuroendocrine tumors OT - Total duodenopancreatectomy EDAT- 2013/02/28 06:00 MHDA- 2013/02/28 06:01 PMCR- 2012/10/27 CRDT- 2013/02/28 06:00 PHST- 2012/06/25 00:00 [received] PHST- 2012/09/11 00:00 [revised] PHST- 2012/10/20 00:00 [accepted] PHST- 2013/02/28 06:00 [entrez] PHST- 2013/02/28 06:00 [pubmed] PHST- 2013/02/28 06:01 [medline] PHST- 2012/10/27 00:00 [pmc-release] AID - 10.4240/wjgs.v4.i10.238 [doi] PST - ppublish SO - World J Gastrointest Surg. 2012 Oct 27;4(10):238-45. doi: 10.4240/wjgs.v4.i10.238.