A successful case of pancreaticoduodenectomy with resection of the hepatic arteries preserving a single aberrant hepatic artery for a pancreatic ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-01-30

AUTHORS

Akihiko Ichida, Yoshihiro Sakamoto, Masaaki Akahane, Takeaki Ishizawa, Junichi Kaneko, Taku Aoki, Kiyoshi Hasegawa, Yasuhiko Sugawara, Norihiro Kokudo

ABSTRACT

A 65-year-old male with a pancreatic neuroendocrine tumor presenting with a duodenal ulcer was referred to our department. The tumor involved the common hepatic artery, gastroduodenal artery, left hepatic artery and the right posterior hepatic artery, but not the right anterior hepatic artery originating from the superior mesenteric artery. The hepatic arteries, except the aberrant right anterior hepatic artery, were embolized using coils 18 days before the surgery. The patient underwent pancreaticoduodenectomy with resection of the tumor-encased hepatic arteries, while preserving the aberrant artery. The patient was discharged uneventfully on postoperative day 13 with no ischemic complications. A histopathological examination revealed a grade 2 pancreatic neuroendocrine tumor according to the classification of the World Health Organization, and the surgical margin was negative. The patient developed hepatic metastases 16 months after surgery; hence, hepatic resection was performed. The present surgical strategy is applicable in patients with relatively low-grade pancreatic malignancies involving major hepatic arteries. More... »

PAGES

363-368

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-014-0837-0

DOI

http://dx.doi.org/10.1007/s00595-014-0837-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1009863304

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24477525


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