title: Hepato-pancreaticoduodenectomy with preservation of the collateral arterial arcade in the head of the pancreas in a patient with celiac axis stenosis.
abstract: Hepato-pancreaticoduodenectomy was performed for common bile duct carcinoma associated with celiac axis stenosis. To secure arterial blood flow to the upper abdominal organs, we preserved the anterior arcade in the pancreas head acting as a collateral pathway between the superior mesenteric artery and the celiac artery. This is another valid alternative procedure for pancreaticoduodenectomy in a patient with celiac axis stenosis.
authors.affiliation: Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Graduate School of Medicine University of Tokyo, Tokyo, Japan. kihase-tky@umin.ac.jp
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Keiji
authors.initials: K
authors.lastname: Sano
authors.forename: Tahashi
authors.initials: T
authors.lastname: Ishida
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Shin
authors.forename: Mami
authors.initials: M
authors.lastname: Ikeda
authors.forename: Norihiro
authors.initials: N
authors.lastname: Kokudo
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Makuuchi
mesh_terms: D000368:Aged; D002445:Celiac Artery / Q000002:abnormalities* / Q000601:surgery; D003097:Collateral Circulation / Q000502:physiology*; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D041781:Jaundice, Obstructive / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010179:Pancreas / Q000098:blood supply*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D012086:Reoperation