Hepato-pancreaticoduodenectomy with preservation of the collateral arterial arcade in the head of the pancreas in a patient with celiac axis stenosis.
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.
Hasegawa
Kiyoshi
K
Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Graduate School of Medicine University of Tokyo, Tokyo, Japan. kihase-tky@umin.ac.jp
Sano
Keiji
K
Ishida
Tahashi
T
Shin
Nobuhiro
N
Ikeda
Mami
M
Kokudo
Norihiro
N
Makuuchi
Masatoshi
M
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