Hepato-pancreaticoduodenectomy with preservation of the collateral arterial arcade in the head of the pancreas in a patient with celiac axis stenosis
Hasegawa, K.; Sano, K.; Ishida, T.; Shin, N.; Ikeda, M.; Kokudo, N.; Makuuchi, M.
Hepato-Gastroenterology 52(63): 742-744
2005
ISSN/ISBN: 0172-6390 PMID: 15966195 Document Number: 594601
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.