Key result
Laparoscopic pancreaticoduodenectomy with portal vein resection yields 6-month disease-free status in ampullary adenocarcinoma with PVTT.
Case Report (n=1)
Laparoscopic pancreaticoduodenectomy with portal vein resection and reconstruction can be successfully performed in patients with ampullary adenocarcinoma complicated by portal vein tumor thrombus.
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Supports feasibility in select ampullary cases with PVTT; leaves open prospective trials for safety and outcomes.
We present a rare case of a 62-year-old female with ampullary adenocarcinoma complicated by portal vein tumor thrombus (PVTT). The patient presented with upper abdominal pain, jaundice, and fever. Imaging revealed a distal common bile duct mass with portal vein thrombosis. After multidisciplinary discussion, she underwent laparoscopic pancreaticoduodenectomy with portal vein resection and reconstruction. Histopathology confirmed the presence of adenocarcinoma and PVTT. The patient had an uneventful recovery and is disease-free at 6 months post-surgery.
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Cao et al. (2025) conducted a case report in Ampullary adenocarcinoma complicated by portal vein tumor thrombus (n=1). Laparoscopic pancreaticoduodenectomy with portal vein resection and reconstruction was evaluated on Recovery and disease-free status. Laparoscopic pancreaticoduodenectomy with portal vein resection resulted in an uneventful recovery and disease-free status at 6 months in a patient with ampullary adenocarcinoma and PVTT.
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