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Hepatectomy and pylorus‐preserving pancreatoduodenectomy with reconstruction of the hepatic artery, using the middle colic artery, for bile duct carcinoma: A case report
Author(s) -
Sekido Hitoshi,
Shimada Hiroshi,
Nakano Akira,
Endo Itaru,
Fujii Satoshi
Publication year - 1994
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf01222250
Subject(s) - medicine , bile duct carcinoma , gastroduodenal artery , hepatoduodenal ligament , bile duct , artery , anastomosis , left hepatic duct , pylorus , pancreaticoduodenectomy , radiology , surgery , pancreas , resection , stomach
To curatively resect advanced bile duct carcinoma which spread from the hilus to the intrapancreatic bile duct and invaded the portal vein and the hepatic artery, left hepatic lobectomy, caudate lobectomy, hepatoduodenal ligamenteetomy, and pylorus‐preserving pancreatoduodenectomy were performed. The hepatic artery was reconstructed by anastomosis of the middle colic artery to the right hepatic artery, and the portal vein was also reconstructed. Gastro‐intestinal reconstruction was performed using Traverso's procedure. The patient had a relapsing liver abscess post‐operatively and hospital stay was therefore prolonged. However, she was discharged. 3 months after the surgery. A histological study showed that this operation made it possible to remove the entire cancerous lesion in advanced bile duct carcinoma.