Venous bypass grafting for celiac occlusion in radical pancreaticoduodenectomy.

Abstract:

:Radical pancreaticoduodenectomy was performed for cancer of the head of the pancreas in a 65-year-old male patient with congenital celiac occlusion. Preoperative angiography revealed that the arterial flow to the liver, spleen, and stomach was supplied via the pancreaticoduodenal arcade and that the dorsal pancreatic artery arose from the superior mesenteric artery. In order to perform radical pancreatectomy with sufficient clearance of lymph nodes and soft tissues around the pancreas, the celiac arterial circulation was reconstructed. The restoration of flow was effected via a saphenous vein graft between the common hepatic artery and the aorta. Postoperative angiography demonstrated patency of the graft. The patient's postoperative course was uneventful.

journal_name

Pancreas

journal_title

Pancreas

authors

Manabe T,Baba N,Setoyama H,Ohshio G,Tobe T

doi

10.1097/00006676-199105000-00014

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

368-71

issue

3

eissn

0885-3177

issn

1536-4828

journal_volume

6

pub_type

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