A long-term survivor after total pancreatectomy simultaneously reconstructed portal vein and hepatic artery for pancreatic cancer.

Ogawa, Narihito; Miyata, Masahiko; Nakao, Kazuyasu; Sakamoto, Tsuguo; Tsumori, Takao; Izukura, Masaaki; Nakamura, Masahiro; Nakaba, Hiroyuki; Yumiba, Takeyoshi; Dohsei, Tsutomu; Kawashima, Yasunaru

doi:10.5833/jjgs.21.2172

Cited by 2 publications

(1 citation statement)

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“…As vascular surgical techniques develop, increasing numbers of combined vascular resections for advanced cancer of the biliary tract are being performed,10 Various types of reconstruction have been reported for the hepatic artery; anastomoses of the gastroduodenal artery10 or the splenic artery11 to the hepatic artery, or end‐to‐end anastmosis of the hepatic artery and grafting of the major saphenous vein 12. However, we performed an arterial reconstruction of the middle colic artery to the right hepatic artery, using a microsurgical technique.…”

Section: Discussionmentioning

confidence: 99%

Hepatectomy and pylorus-preserving pancreatoduodenectomy with reconstruction of the hepatic artery, using the middle colic artery, for bile duct carcinoma: A case report

Sekido

Shimada

Nakano

et al. 1994

J Hep Bil Pancr Surg

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To curatively resect advanced bile duct carcinoma which spread from the hilus to the intrapancreatic bile duct and invaded the portal vein and the hepatic artery, left hepatic lobectomy, caudate lobectomy, hepatoduodenal ligamentectomy, and pylorus-preserving pancreatoduodenectomy were performed. The hepatic artery was reconstructed by anastomosis of the middle colic artery to the right hepatic artery, and the portal vein was also reconstructed. Gastrointestinal reconstruction was performed using Traverso's procedure. The patient had a relapsing liver abscess postoperatively and hospital stay was therefore prolonged. However, she was discharged. 3 months after the surgery. A histological study showed that this operation made it possible to remove the entire cancerous lesion in advanced bile duct carcinoma.

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Section: Discussionmentioning

confidence: 99%