Hepato-pancreaticoduodenectomy with preservation of the collateral arterial arcade in the head of the pancreas in a patient with celiac axis stenosis

Hepatogastroenterology. 2005 May-Jun;52(63):742-4.

Abstract

Hepato-pancreaticoduodenectomy was performed for common bile duct carcinoma associated with celiac axis stenosis. To secure arterial blood flow to the upper abdominal organs, we preserved the anterior arcade in the pancreas head acting as a collateral pathway between the superior mesenteric artery and the celiac artery. This is another valid alternative procedure for pancreaticoduodenectomy in a patient with celiac axis stenosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Celiac Artery / abnormalities*
  • Celiac Artery / surgery
  • Collateral Circulation / physiology*
  • Common Bile Duct Neoplasms / diagnosis
  • Common Bile Duct Neoplasms / surgery*
  • Constriction, Pathologic / surgery
  • Diagnosis, Differential
  • Female
  • Follow-Up Studies
  • Hepatectomy / methods*
  • Humans
  • Jaundice, Obstructive / diagnosis
  • Jaundice, Obstructive / etiology*
  • Jaundice, Obstructive / surgery
  • Pancreas / blood supply*
  • Pancreaticoduodenectomy / methods*
  • Reoperation