ファイル
言語
英語
著者
矢野 誠司
Yamauchi, Masanobu
Sumi, Shoichiro
Inoue, Yasusi
Iwasaki, Shinji
Ooishi, Tatsuro
仁尾 義則
Tamura, Katsuhiro
内容記述(抄録等)
Blood flow to the liver, spleen, stomach and pancreas must be preserved during and after pylorus preserving pancreatoduodenectomy (PPPD) in patients with celiac axis (CeA) occlusion. We report a patient with ampullary carcinoma and CeA occlusion in whom PPPD was successfully performed. Preoperative angiography demonstrated complete obstruction of the CeA. The territorial blood flow to the celiac organs was supplied by the superior mesenteric artery via the gastroduodenal artery (GDA). This required a bypass from the aorta to the GDA using a saphenous vein graft (SVG). A PPPD was performed after the bypass was created. The postoperative course was uneventful. Follow-up angiography showed patency of the SVG. In patients with CeA occlusion who requre PPPD, a bypass from the aorta to the GDA using SVG may be performed safely and easily.
掲載誌名
Shimane journal of medical science
17
1
開始ページ
1
終了ページ
4
ISSN
03865959
ISSN(Online)
24332410
発行日
1999-06-01
NCID
AA00841586
出版者別表記
Shimane Medical University
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
部局
医学部
備考
http://ci.nii.ac.jp/vol_issue/nels/AA00841586_jp.html