Abdominal Radiology

, Volume 42, Issue 11, pp 2675–2685 | Cite as

Pictorial review of vascular involvement and complex vascular reconstructions in borderline to minimally advanced pancreatic malignancies

  • Donald L. Ly
  • Seng Thipphavong
  • Boraiah SreeharshaEmail author
Pictorial Essay



To review borderline resectability criteria for pancreatic malignancies, show examples of few surgically treated minimally advanced pancreatic malignancies, discuss various complex vascular reconstructions, and highlight the imaging appearances.


Often aggressive surgical approaches are used to treat borderline to minimally advanced pancreatic malignancies in specialist centers. As abdominal radiologists it is essential to have up-to-date knowledge to distinguish such tumors with accuracy and also be well versed with the various vascular reconstructions used in such surgeries.

Imaging findings

We will show various examples of resected borderline resectable and minimally advanced pancreatic malignancies, highlight crucial vascular involvements, describe various types of advanced vascular reconstructions, and review their standard imaging appearances. We will also briefly describe the vascular complications and highlight the importance of imaging surveillance in early post-operative period.


It is essential for abdominal radiologists in specialist centers where aggressive surgical approaches are used to have accurate knowledge to assess vascular involvement in pancreatic malignancies and equally to recognize and assess vascular reconstructions on imaging after complex surgeries.


Pancreatic cancer Complex vascular reconstructions Borderline resectability criteria 


Compliance with ethical standards


No funding was received for this study.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Statement of informed consent was not applicable since the manuscript does not contain any patient data.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Donald L. Ly
    • 1
  • Seng Thipphavong
    • 2
  • Boraiah Sreeharsha
    • 3
    Email author
  1. 1.Department of RadiologyBrigham and Women’s HospitalBostonUSA
  2. 2.Department of Medical ImagingWomen’s College HospitalTorontoUSA
  3. 3.Department of Medical ImagingPrincess Margaret HospitalTorontoUSA

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