Abstract:
:Pancreaticoduodenectomy is a radical treatment for pancreatic head cancer. However, it is sometimes difficult to perform pancreaticoduodenectomy, particularly in patients who have previously undergone esophagectomy with gastric conduit reconstruction. We herein describe a surgical technique for radical pancreaticoduodenectomy with microvascular reconstruction that preserves the gastric conduit. A 72-year-old male with a previous history of esophagectomy and gastric conduit reconstruction for esophageal cancer was referred to our hospital for surgical treatment of advanced pancreatic head cancer. After considering both the cancer curability and preservation of the gastric conduit, we performed a standard pancreaticoduodenectomy, and added a microvascular anastomosis of the gastroduodenal artery to the right gastroepiploic artery. In addition, we also performed reconstruction of the right gastroepiploic vein. This radical pancreaticoduodenectomy with microvascular reconstruction was safely and successfully performed, and it preserved the gastric conduit. The 6-month follow-up showed recurrence-free survival and a good quality of life.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Inoue A,Akita H,Eguchi H,Hama N,Wada H,Kawamoto K,Kobayashi S,Mori M,Doki Y,Nagano Hdoi
10.1007/s00595-013-0791-2subject
Has Abstractpub_date
2014-04-01 00:00:00pages
786-91issue
4eissn
0941-1291issn
1436-2813journal_volume
44pub_type
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