Open AccessLeft Gastric Artery Reconstruction after Distal Pancreatectomy with Celiac Axis En-Bloc Resection: How We Do It
Author(s) -
Ken-ichi Okada,
Seiko Hirono,
Manabu Kawai,
Shinya Hayami,
Shinichi Asamura,
Yoshitaka Wada,
Masaki Ueno,
Motoki Miyazawa,
Atsushi Shimizu,
Yuji Kitahata,
Hiroki Yamaue
Publication year - 2017
Publication title -
gastrointestinal tumors
Language(s) - English
Resource type - Journals
eISSN - 2296-3766
pISSN - 2296-3774
DOI - 10.1159/000469660
Subject(s) - medicine , resection , celiac artery , distal pancreatectomy , pancreatectomy , left gastric artery , artery , cardiology , surgery
Ischemic gastropathy remains as a persistent problem after left gastric artery (LGA) resection in distal pancreatectomy with celiac axis en-bloc resection (DP-CAR). The middle colic artery (MCA) was found to be a useful vessel for compromised collateral flow. However, intraoperative gross evaluation of gastric ischemia is technically difficult even after artery reconstruction.