Alternative hepatic arterial reconstruction technique in a case of total pancreaticoduodenectomy after celiac artery resection in pancreas cancer: Iliac-hepatic bypass

dc.authorid0000-0002-7466-7743
dc.authorid0000-0003-3777-8468
dc.authorid0000-0002-2104-741X
dc.authorid0000-0002-4534-4929
dc.authorid0000-0002-3458-2737
dc.authorid0000-0001-9769-2565
dc.authorid0000-0002-6325-1603
dc.contributor.authorÖzsoy, Mustafa
dc.contributor.authorŞahin, Enes
dc.contributor.authorYavuz, Mustafa
dc.contributor.authorÖzsoy, Zehra
dc.contributor.authorOkur, Nazan
dc.contributor.authorŞahin, Süleyman.
dc.contributor.authorYılmaz, Sezgin
dc.contributor.authorArıkan, Yüksel
dc.date.accessioned2020-03-26T20:12:29Z
dc.date.available2020-03-26T20:12:29Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractSurgery is the only treatment method in pancreatic cancer. Unfortunately, metastatic diseases or invasion of the main vascular structures are observed in a majority of cases at the time of diagnosis; these structures originate from the body, neck, and tail of the pancreas and are considered inoperable. The first celiac artery resection for the treatment of cancer was described by Appleby in 1953. Here, we describe our hepatic artery reconstruction technique in a case with pancreatic body cancer. A 37-year-old male patient was admitted to our emergency department due to syncope. The patient was diagnosed with acute renal failure secondary to fluid loss.Thereafter, his general condition was stable and laboratory results improved. Abdominal computed tomography was performed. Pancreatic cancer originating from the pancreatic body was detected. A pancreatic biopsy was performed and neoadjuvant gemcitabine and paclitaxel chemoradiotherapy were initiated. Surgical treatment was recommended for the identification of regression after neoadjuvant chemoradiotherapy. Following intraoperative Doppler ultrasonography, en bloc distal pancreatectomy and splenectomy involving the celiac artery trunk and total gastrectomy were performed. However, surgical margin reliability in frozen section revealed that the tumor was still present. Therefore, the surgical procedure was replaced with total pancreaticoduodenectomy. Hepatic artery reconstruction was performed from the left main iliac artery using a 4-mm ringed GORE-TEX (R) graft. The iliac-hepatic bypass for hepatic artery reconstruction in pancreatic cancer could be an alternative surgical technique.en_US
dc.identifier.citationÖzsoy, M., Şahin, E., Yavuz, M., Özsoy, Z., Okur, N., Şahin, S., Yılmaz, S., Arıkan, Y. (2019). Alternative Hepatic Arterial Reconstruction Technique in a Case of Total Pancreaticoduodenectomy After Celiac Artery Resection in Pancreas Cancer: Iliac-Hepatic Bypass. Turkish Journal of Surgery, 35(2), 146-150.
dc.identifier.doi10.5578/turkjsurg.3983en_US
dc.identifier.endpage150en_US
dc.identifier.issn2564-6850en_US
dc.identifier.issn2564-7032en_US
dc.identifier.issue2en_US
dc.identifier.pmid#YOKen_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage146en_US
dc.identifier.urihttps://dx.doi.org/10.5578/turkjsurg.3983
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37466
dc.identifier.volume35en_US
dc.identifier.wosWOS:000499472900013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorŞahin, Enes
dc.language.isoenen_US
dc.publisherTURKISH SURGICAL ASSOCen_US
dc.relation.ispartofTURKISH JOURNAL OF SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectApplebyen_US
dc.subjectceliac arteryen_US
dc.subjectiliac-hepatic bypassen_US
dc.subjectpancreasen_US
dc.titleAlternative hepatic arterial reconstruction technique in a case of total pancreaticoduodenectomy after celiac artery resection in pancreas cancer: Iliac-hepatic bypassen_US
dc.typeArticleen_US

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