膵癌術前の血流改変

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タイトル別名
  • Preoperative Embolization in Preparation for Pancreaticoduodenectomy with Common Hepatic Artery Resection
  • （特殊な症例，肝動脈合併膵頭十二指腸切除術前血流改変）

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Distal pancreatectomy with en bloc celiac axis resection (DP-CAR) was now employed for locally advanced cancer of the body of the pancreas involving the common hepatic artery and/or celiac trunk. Recently, pancreaticoduodenectomy with common hepatic artery resection (PD-CHAR) is employed for locally advanced cancer of the head of the pancreas. In this operation, reconstruction of the hepatic artery is generally needed. In some cases, reconstruction of the hepatic artery is not needed due to hepatic arterial variants. Herein, we discussed the strategy for preoperative coil embolization of PD-CHAR in our institute by reporting two cases.

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