[Cephalic duodenopancreatectomy with preservation of pancreaticoduodenal arcades in coeliac trunk occlusion].
In the case of complete occlusion of the coeliac trunk, the hepatic and splenic arterial blood supply is ensured by the superior mesenteric artery. Interruption of this collateral circulation by pancreaticoduodenectomy carries a risk of hepatic ischaemia and anastomotic leaks. In addition to the various techniques of coeliac trunk revascularization, preservation of the gastroduodenal artery and pancreaticoduodenal arcades may help to preserve the arterial blood supply. The authors report the case of a 58-year-old female with a benign tumour of the pancreatic head and partially corrected coeliac trunk occlusion. Pancreaticoduodenectomy was performed with preservation of the pancreaticoduodenal arcades and gastroduodenal artery.
Pelloni
A
A
Service de chirurgie, Ospedale San Giovanni, Bellinzona, Suisse.
Gertsch
P
P
D001157:Arterial Occlusive Diseases / Q000473:pathology / Q000601:surgery*; D002445:Celiac Artery / Q000473:pathology / Q000601:surgery*; D005260:Female; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D010182:Pancreatic Diseases / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D013157:Splenic Artery / Q000601:surgery