中結腸動脈を用いて胃管の栄養動脈である右胃大網動脈を再建した経験

DOI

書誌事項

タイトル別名
  • Microsurgical Reconstruction of Right Gastroepiploic Artery with Middle Colic Artery for Preservation of Gastric Tube

この論文をさがす

抄録

In gastric tube reconstruction for esophagectomy, the blood flow to the gastric tube is mainly supplied by the gastroduodenal artery ( GDA ) via the right gastroepiploic artery ( RGEA ) . Ablation of RGEA in pylorus-preserving pancreaticoduodenectomy ( PPPD ) for pancreatic head cancer may cause ischemia of the gastric tube. The middle colic artery ( MCA ), splenic artery and jejunal artery are potential choices of donor vessel to reconstruct RGEA. We report a case of microsurgical reconstruction of RGEA with MCA, which was ligated during the operation for preservation of the gastric tube. The postoperative course was uneventful and the flow of RGEA was confirmed by CT angiography on the eighth postoperative day. It seemed reasonable to use MCA for the reconstruction of RGEA in that the positions of donor and recipient vessels are close and the sacrifice of blood flow to other organs is limited.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ