Pylorus-preserving pancreaticoduodenectomy after transhiatal esophagectomy sparing the right gastroepiploic vessels and gastric tube.
BACKGROUND
Pancreaticoduodenectomy after transhiatal esophagectomy is a technically demanding procedure in sense of preserving the blood supply to the gastric tube.


METHODS
We report a case of pylorus-preserving pancreaticoduodenectomy for pancreatic head cancer, 13 years after a transhiatal esophagectomy, sparing the gastric tube and the right gastroepiploic artery and vein.


CONCLUSIONS
This type of operation is less time-consuming and less invasive, since no further reconstruction of the alimentary tract or the vascular system is applied.
Fragulidis
Georgios P
GP
Second Department of Surgery, Aretaieio Hospital, Medical School, University of Athens, 76 Vassilissis Sophias Ave., 11528 Athens, Greece. gfragulidis@aretaieio.uoa.gr
Athanasopoulos
Panagiotis G
PG
Melemeni
Aikaterini
A
Chondrogiannis
Konstantinos D
KD
Nastos
Konstantinos
K
Koutoulidis
Vassileios
V
Polydorou
Andreas
A
D000230:Adenocarcinoma / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000000981:diagnostic imaging / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011859:Radiography; D013270:Stomach / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000637:transplantation