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Cancer of the head of the pancreas treated with pancreaticoduodenectomy with reconstruction of the replaced common hepatic artery

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Abstract

A replaced common hepatic artery (RCHA) originating from the superior mesenteric artery is a rare anomaly, and cancer of the head of the pancreas can easily invade the RCHA. Interruption of the hepatic arterial flow at the time of pancreaticoduodenectomy (PD) is associated with an increased risk of hepatic and biliary ischemia, which may consequently result in complications such as stenosis of the biliary-enteric anastomosis, and in biliary fistulae. Hence, PD accompanied by dissection and reconstruction of the RCHA is necessary. We here report a case of pancreatic head cancer with invasion of the RCHA. We performed a PD with dissection and reconstruction of the RCHA using the left gastric artery and proximal stump of the RCHA, without any serious complications. We conclude that for PD in patients with an RCHA, careful study of preoperative images is necessary, and that microsurgery for arterial reconstruction is beneficial for these patients.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-0816, Japan

    Yoshiaki Ikuta, Akira Chikamoto, Daisuke Hashimoto, Tsugio Eto, Toru Beppu & Hideo Baba

  2. Department of Transplantation and Pediatric Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-0816, Japan

    Shintaro Hayashida, Katsuhiro Asonuma & Yukihiro Inomata

Authors
  1. Yoshiaki Ikuta
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  2. Akira Chikamoto
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  3. Shintaro Hayashida
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  4. Daisuke Hashimoto
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  5. Tsugio Eto
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  6. Toru Beppu
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  7. Katsuhiro Asonuma
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  8. Yukihiro Inomata
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  9. Hideo Baba
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Corresponding author

Correspondence to Yoshiaki Ikuta.

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Ikuta, Y., Chikamoto, A., Hayashida, S. et al. Cancer of the head of the pancreas treated with pancreaticoduodenectomy with reconstruction of the replaced common hepatic artery. Int Canc Conf J 3, 264–267 (2014). https://doi.org/10.1007/s13691-014-0159-5

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  • DOI: https://doi.org/10.1007/s13691-014-0159-5

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