Document Detail

Reconstruction of the common hepatic artery at the time of total pancreatectomy using a splenohepatic bypass.
MedLine Citation:
PMID:  20143274     Owner:  NLM     Status:  MEDLINE    
Arterial involvement by a periampullary adenocarcinoma is often a contraindication for resection, since an R0 resection cannot be achieved. This is usually observed in cases with involvement of the superior mesenteric artery. Involvement of the common hepatic artery, however, requires a bypass procedure if the gastroduodenal artery was divided during the resection. In such cases, the splenic artery can be used as an inflow-source provided that there is no stenosis of the celiac trunk and the splenic blood flow is preserved via the short gastric arteries. We describe a technique used in four cases for the reconstruction of the common hepatic artery following a segmental resection of this vessel en bloc with a periampullary tumor during pancreatectomy. The inflow is maintained by a splenohepatic bypass using the splenic artery.
Matthias H Seelig; Orlin Belyaev; Waldemar Uhl
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Publication Detail:
Type:  Journal Article     Date:  2010-02-09
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  14     ISSN:  1873-4626     ISO Abbreviation:  J. Gastrointest. Surg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-15     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  913-5     Citation Subset:  IM    
Department of General Surgery, St. Josef Hospital, Ruhr University of Bochum, Gudrunstrasse 56, 44791 Bochum, Germany.
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MeSH Terms
Adenocarcinoma / mortality,  secondary,  surgery
Anastomosis, Surgical / methods
Follow-Up Studies
Hepatic Artery / surgery*
Intraoperative Care / methods
Neoplasm Invasiveness / pathology*
Pancreatectomy / adverse effects,  methods*
Pancreatic Neoplasms / mortality,  pathology,  surgery
Patient Selection
Reconstructive Surgical Procedures / methods*
Risk Assessment
Sampling Studies
Splenic Artery / surgery,  transplantation*
Survival Analysis
Treatment Outcome
Vascular Neoplasms / pathology,  secondary,  surgery*
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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