SUCCESSFULLY PERFORMED PYLORUS PRESERVING PANCREATODUODENECTOMY FOR AMPULLARY CARCINOMA ASSOCIATED WITH CELIAC AXIS OCCLUSION

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概要

• 論文の詳細を見る

• Blood flow to the liver, spleen, stomach and pancreas must be preserved during and after pylorus preserving pancreatoduodenectomy (PPPD) in patients with celiac axis (CeA) occlusion. We report a patient with ampullary carcinoma and CeA occlusion in whom PPPD was successfully performed. Preoperative angiography demonstrated complete obstruction of the CeA. The territorial blood flow to the celiac organs was supplied by the superior mesenteric artery via the gastroduodenal artery (GDA). This required a bypass from the aorta to the GDA using a saphenous vein graft (SVG). A PPPD was performed after the bypass was created. The postoperative course was uneventful. Follow-up angiography showed patency of the SVG. In patients with CeA occlusion who requre PPPD, a bypass from the aorta to the GDA using SVG may be performed safely and easily.

• 島根大学の論文

著者

• TAMURA Katsuhiro

  Department of Chemistry, University of Tsukuba

• YANO Seiji

  Department of Internal Medicine and Molecular Therapeutics, The University of Tokushima Graduate Sch

• IWASAKI Shinji

  Department of Gastroenterology and Hepatology, Kochi Medical School

• Tamura K

  Shimane Medical Univ. Izumo Jpn

• SUMI Shoichiro

  Department of Organ Reconstruction, Field of Clinical Application, Institute for Frontier Medical Sc

• Sumi Shoichiro

  Department Of Surgery Shimane Medical University

• Sumi Shoichiro

  Department Of Organ Reconstruction Field Of Clinical Application Institute For Frontier Medical Scie

• Iwasaki Shinji

  Department Of Gastroenterology And Hepatology Kochi Medical School

• Iwasaki Shinji

  Department Of Surgery Shimane Medical University

• YANO Seiji

  First Department of Surgery, Shimane Medical University

• YAMAUCHI Masanobu

  Department of Surgery, Shimane Medical University

• INOUE Yasusi

  Department of Surgery, Shimane Medical University

• KAWABATA Yasunari

  Department of Surgery, Shimane Medical University

• OOISHI Tatsuro

  Department of Surgery, Shimane Medical University

• ITAKURA Masayuki

  Department of Surgery, Shimane Medical University

• NIO Yoshinori

  Department of Surgery, Shimane Medical University

• Itakura Masayuki

  Department Of Surgery Shimane Medical University

• Yano Seiji

  Department Of Internal Medicine And Molecular Therapeutics Institute Of Health Biosciences Universit

• Inoue Yasusi

  Department Of Surgery Shimane Medical University

• Nio Yoshinori

  Department Of Cardiovascular And Digestive Surgery Shimane University School Of Medicine

• Nio Yoshinori

  First Department Of Surgery Shimane Medical University

• Ooishi Tatsuro

  Department Of Surgery Shimane Medical University

• Tamura Katsuhiro

  Department Of Chemical Science And Technology

• Yano Seiji

  Department Of Surgery Shimane Medical University

• Yamauchi Masanobu

  Department Of Surgery Shimane Medical University

• Yamauchi Masanobu

  Department Of Cardiovascular Surgery Shimane Prefectural Central Hospital

• Kawabata Yasunari

  Department Of Surgery Shimane Medical University

• Sumi Shoichiro

  Department Of Gastroenterology And Hepatology Shimane University Faculty Of Medicine

• Yano Seiji

  Department Of Internal Medicine And Molecular Tharapeutics University Of Tokushima School Of Medicin

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