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.
Second Department of Surgery, Aretaieio Hospital, Medical School, University of Athens, 76 Vassilissis Sophias Ave., 11528 Athens, Greece. gfragulidis@aretaieio.uoa.gr
Georgios P
GP
Fragulidis
Panagiotis G
PG
Athanasopoulos
Aikaterini
A
Melemeni
Konstantinos D
KD
Chondrogiannis
Konstantinos
K
Nastos
Vassileios
V
Koutoulidis
Andreas
A
Polydorou
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