Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report
Abstract Anatomical variations of hepatic arteries may be problematic in pancreaticoduodenectomy (PD). We experienced pancreatic head cancer in a patient with rare variation of hepatic artery and performed PD successfully with the resection of this artery. A 75-year-old woman showed pancreatic head...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2017-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-017-0352-9 |
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| author | Yusuke Sakamoto Takahisa Fujikawa Akira Tanaka |
| author_facet | Yusuke Sakamoto Takahisa Fujikawa Akira Tanaka |
| author_sort | Yusuke Sakamoto |
| collection | DOAJ |
| description | Abstract Anatomical variations of hepatic arteries may be problematic in pancreaticoduodenectomy (PD). We experienced pancreatic head cancer in a patient with rare variation of hepatic artery and performed PD successfully with the resection of this artery. A 75-year-old woman showed pancreatic head tumor on CT. Preoperative CT detected rare variation of hepatic artery; posterior segmental branch of right hepatic artery (RHA-PB) originating from posterior inferior pancreaticoduodenal artery. The image also demonstrated that there was a junction between RHA-PB and anterior branch of right hepatic artery (RHA-AB). We performed PD for suspected pancreatic head cancer. We divided RHA-PB for complete resection of cancer because we preoperatively knew that there was the junction between RHA-PB and RHA-AB. She was discharged uneventfully, and there was no evidence of local recurrence throughout the whole course. Careful preoperative assessment of hepatic blood supply is the key to perform successful PD even in this troublesome situation. |
| format | Article |
| id | doaj-art-d952383b87124df8a1abb00a112f7666 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2017-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-d952383b87124df8a1abb00a112f76662025-08-20T03:58:54ZengJapan Surgical SocietySurgical Case Reports2198-77932017-06-01311410.1186/s40792-017-0352-9Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case reportYusuke Sakamoto0Takahisa Fujikawa1Akira Tanaka2Department of Surgery, Kokura Memorial HospitalDepartment of Surgery, Kokura Memorial HospitalDepartment of Surgery, Kokura Memorial HospitalAbstract Anatomical variations of hepatic arteries may be problematic in pancreaticoduodenectomy (PD). We experienced pancreatic head cancer in a patient with rare variation of hepatic artery and performed PD successfully with the resection of this artery. A 75-year-old woman showed pancreatic head tumor on CT. Preoperative CT detected rare variation of hepatic artery; posterior segmental branch of right hepatic artery (RHA-PB) originating from posterior inferior pancreaticoduodenal artery. The image also demonstrated that there was a junction between RHA-PB and anterior branch of right hepatic artery (RHA-AB). We performed PD for suspected pancreatic head cancer. We divided RHA-PB for complete resection of cancer because we preoperatively knew that there was the junction between RHA-PB and RHA-AB. She was discharged uneventfully, and there was no evidence of local recurrence throughout the whole course. Careful preoperative assessment of hepatic blood supply is the key to perform successful PD even in this troublesome situation.http://link.springer.com/article/10.1186/s40792-017-0352-9Pancreatic head cancerReplaced right hepatic arteryPancreaticoduodenectomyPreoperative anatomical assessment |
| spellingShingle | Yusuke Sakamoto Takahisa Fujikawa Akira Tanaka Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report Surgical Case Reports Pancreatic head cancer Replaced right hepatic artery Pancreaticoduodenectomy Preoperative anatomical assessment |
| title | Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report |
| title_full | Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report |
| title_fullStr | Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report |
| title_full_unstemmed | Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report |
| title_short | Successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery: a case report |
| title_sort | successful radical resection of pancreatic head carcinoma in a patient with replaced right hepatic artery originating from posterior inferior pancreaticoduodenal artery a case report |
| topic | Pancreatic head cancer Replaced right hepatic artery Pancreaticoduodenectomy Preoperative anatomical assessment |
| url | http://link.springer.com/article/10.1186/s40792-017-0352-9 |
| work_keys_str_mv | AT yusukesakamoto successfulradicalresectionofpancreaticheadcarcinomainapatientwithreplacedrighthepaticarteryoriginatingfromposteriorinferiorpancreaticoduodenalarteryacasereport AT takahisafujikawa successfulradicalresectionofpancreaticheadcarcinomainapatientwithreplacedrighthepaticarteryoriginatingfromposteriorinferiorpancreaticoduodenalarteryacasereport AT akiratanaka successfulradicalresectionofpancreaticheadcarcinomainapatientwithreplacedrighthepaticarteryoriginatingfromposteriorinferiorpancreaticoduodenalarteryacasereport |