Pancreaticoduodenectomy After Esophageal and Gastric Surgery Preserving Right Gastroepiploic Vessels

Ikeda, Mami; Hasegawa, Kiyoshi; Akamatsu, Nobuhisa; Minagawa, Masami; Imamura, Hiroshi; Sugawara, Yasuhiko; Kokudo, Norihiro; Makuuchi, Masatoshi

doi:10.1001/archsurg.141.2.205

Cited by 26 publications

(21 citation statements)

References 16 publications

(14 reference statements)

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“…In the last decade, progresses achieved in the perioperative results of this operation have let to extend the indications for PD to cases previously considered as contraindicated. Nowadays, pancreatic cancer with vascular venous involvement [8], elderly patients [9], and patients with previous upper digestive surgery [10][11][12][13] are no longer considered as contraindicated if performed in tertiary referral centers for pancreatic surgery and when a radical R0 resections is reasonably expected.…”

Section: Discussionmentioning

confidence: 99%

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Gastroduodenal artery-preserving pancreaticoduodenectomy after subtotal esophagectomy and gastric pull-up

Addeo

Marzano

Rosso

et al. 2011

Langenbecks Arch Surg

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Gastroduodenal artery preserving pancreaticoduodenectomy can serve as an additional option in the armamentarium of a pancreatic surgeon. This technique constitutes an interesting technical option that ensures optimal vascular supply to the gastric remnant after previous esophagectomy. Its clinical application remains limited to selected indications and deserves further experience and comparison with standard techniques.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, appropriate clearance of the lymph nodes along the pyloric region is generally required in such cases. For these reasons, advocate of the GDA preserving PD have generally adopted this approach only for small, distally located lesion of the periampullary region [3,11].…”

Section: Discussionmentioning

confidence: 99%

Gastroduodenal artery-preserving pancreaticoduodenectomy after subtotal esophagectomy and gastric pull-up

Addeo

Marzano

Rosso

et al. 2011

Langenbecks Arch Surg

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“…We want to pay attention to the fact that no operation-related morbidity appeared in that case, although colon replacement was used. According to the majority of authors, colon replacement should be justified only in cases where the stomach is not available [1,4]. Furthermore, it is thought that the use of colon is more time consuming, invasive and entails a higher risk of leakage [1].…”

Section: Discussionmentioning

confidence: 99%

“…According to the majority of authors, colon replacement should be justified only in cases where the stomach is not available [1,4]. Furthermore, it is thought that the use of colon is more time consuming, invasive and entails a higher risk of leakage [1]. That is why, most of the already published surgical techniques focus on the preservation of the stomach.…”

Section: Discussionmentioning

confidence: 99%

“…There are few reports of double primary cancers of both organs, either synchronously existing, or metachronously appearing [1][2][3][4][5]. To our knowledge, there is no case report in the literature, describing the successful treatment by means of a onestage surgical procedure of co-existing severe chronic pancreatitis and esophageal cancer, combined with a longterm follow-up of the patient.…”

Section: Introductionmentioning

confidence: 99%

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Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas

Belyaev

Muller

Uhl

2008

Langenbecks Arch Surg

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Purpose Surgical procedures for esophageal cancer and chronic pancreatitis are demanding and still characterized by high morbidity and mortality. Cases of one-stage combined operations on the pancreas and esophagus with a long-term follow-up are rarely reported. Materials and methods We present the case of a 54-year-old woman with a Barrett's carcinoma and an 8-year history of severe chronic pancreatitis complicated with multiple episodes of cholangitis and resistant to conservative treatment.Results After a successful one-stage operation consisting of esophagogastrectomy and pancreaticoduodenectomy, a 30-month disease-free follow-up with a good quality of life has been observed. Conclusion Complicated surgical procedures such as onestage multiple organ resections may offer, in selected cases, satisfactory long-term results, provided that patients are treated at a high-volume center by a multidisciplinary team.

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Gastric conduit-preserving, radical pancreaticoduodenectomy with microvascular reconstruction for pancreatic head cancer after esophagectomy: report of a case

et al. 2013

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Pancreaticoduodenectomy is a radical treatment for pancreatic head cancer. However, it is sometimes difficult to perform pancreaticoduodenectomy, particularly in patients who have previously undergone esophagectomy with gastric conduit reconstruction. We herein describe a surgical technique for radical pancreaticoduodenectomy with microvascular reconstruction that preserves the gastric conduit. A 72-year-old male with a previous history of esophagectomy and gastric conduit reconstruction for esophageal cancer was referred to our hospital for surgical treatment of advanced pancreatic head cancer. After considering both the cancer curability and preservation of the gastric conduit, we performed a standard pancreaticoduodenectomy, and added a microvascular anastomosis of the gastroduodenal artery to the right gastroepiploic artery. In addition, we also performed reconstruction of the right gastroepiploic vein. This radical pancreaticoduodenectomy with microvascular reconstruction was safely and successfully performed, and it preserved the gastric conduit. The 6-month follow-up showed recurrence-free survival and a good quality of life.

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Pancreaticoduodenectomy After Esophageal and Gastric Surgery Preserving Right Gastroepiploic Vessels

Cited by 26 publications

References 16 publications

Gastroduodenal artery-preserving pancreaticoduodenectomy after subtotal esophagectomy and gastric pull-up

Gastroduodenal artery-preserving pancreaticoduodenectomy after subtotal esophagectomy and gastric pull-up

Satisfactory long-term results after simultaneous resection of the esophagus, stomach and pancreas

Gastric conduit-preserving, radical pancreaticoduodenectomy with microvascular reconstruction for pancreatic head cancer after esophagectomy: report of a case

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