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Application of a Gastroduodenal Artery Graft for Reconstruction of the Hepatic Artery during Radical Resection of Hilar Cholangiocarcinoma.

Liang Y, Wang J, Shi X, Dong J, Gu W - Gastroenterol Res Pract (2015)

Bottom Line: This paper was designed to evaluate a novel surgical procedure of using a gastroduodenal artery graft for reconstruction of the hepatic artery during radical resection of hilar cholangiocarcinoma, which is citation-free and self-contained.In this paper we retrospectively analyzed the clinical data, surgical procedure, and follow-up results in nine patients who underwent hepatic artery reconstruction using a gastroduodenal artery graft during their radical resection of hilar cholangiocarcinoma and no artery thrombosis or other surgical complications were found after operation with minimum follow-up duration of three months.We recommended that a gastroduodenal artery graft was shown to be a good choice for hepatic artery resection after radical resection of hilar cholangiocarcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary Surgery, Hospital & Institute of Hepatobiliary Surgery, PLA General Hospital, Beijing 100853, China.

ABSTRACT
This paper was designed to evaluate a novel surgical procedure of using a gastroduodenal artery graft for reconstruction of the hepatic artery during radical resection of hilar cholangiocarcinoma, which is citation-free and self-contained. In this paper we retrospectively analyzed the clinical data, surgical procedure, and follow-up results in nine patients who underwent hepatic artery reconstruction using a gastroduodenal artery graft during their radical resection of hilar cholangiocarcinoma and no artery thrombosis or other surgical complications were found after operation with minimum follow-up duration of three months. We recommended that a gastroduodenal artery graft was shown to be a good choice for hepatic artery resection after radical resection of hilar cholangiocarcinoma.

No MeSH data available.


Related in: MedlinePlus

The right hepatic artery was affected. Dissect the affected hepatic artery for en bloc resection.
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Related In: Results  -  Collection


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fig1: The right hepatic artery was affected. Dissect the affected hepatic artery for en bloc resection.

Mentions: According to the Bismuth type [1], nine patients with hilar cholangiocarcinoma were classified into Types IIIa (2 cases), IIIb (6 cases), and IV (1 case). The patients were six males and three females, with average age of 62 years (ranging from 43 to 72 years), and their Child-Pugh scores were all Class A. In all cases, preoperative imaging studies were used to evaluate the hilar vascular involvement. Surgical exploration was also shown to be consistent with the arterial bridging standards; that is, arterial bridging would be considered for tension in situ reconstruction when an affected artery length was ≥2 cm. The specific steps of the procedure were undertaken. We first skeletonized the hepatoduodenal ligament as much as possible, explored the length of the artery affected by tumor, carefully dissected the hepatic artery proximal and distal to the tumor, and then resected the affected artery and tumor together. We then freed the perihepatic ligaments, cut the affected liver according to routine surgical protocols, and finally detached the affected arteries (Figure 1). For the hepatic artery reconstruction, we freed and dissected the gastroduodenal artery and ligated individually the encountered small branches, avoiding electrocoagulation to ensure that the adventitia of the artery was intact.


Application of a Gastroduodenal Artery Graft for Reconstruction of the Hepatic Artery during Radical Resection of Hilar Cholangiocarcinoma.

Liang Y, Wang J, Shi X, Dong J, Gu W - Gastroenterol Res Pract (2015)

The right hepatic artery was affected. Dissect the affected hepatic artery for en bloc resection.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4538971&req=5

fig1: The right hepatic artery was affected. Dissect the affected hepatic artery for en bloc resection.
Mentions: According to the Bismuth type [1], nine patients with hilar cholangiocarcinoma were classified into Types IIIa (2 cases), IIIb (6 cases), and IV (1 case). The patients were six males and three females, with average age of 62 years (ranging from 43 to 72 years), and their Child-Pugh scores were all Class A. In all cases, preoperative imaging studies were used to evaluate the hilar vascular involvement. Surgical exploration was also shown to be consistent with the arterial bridging standards; that is, arterial bridging would be considered for tension in situ reconstruction when an affected artery length was ≥2 cm. The specific steps of the procedure were undertaken. We first skeletonized the hepatoduodenal ligament as much as possible, explored the length of the artery affected by tumor, carefully dissected the hepatic artery proximal and distal to the tumor, and then resected the affected artery and tumor together. We then freed the perihepatic ligaments, cut the affected liver according to routine surgical protocols, and finally detached the affected arteries (Figure 1). For the hepatic artery reconstruction, we freed and dissected the gastroduodenal artery and ligated individually the encountered small branches, avoiding electrocoagulation to ensure that the adventitia of the artery was intact.

Bottom Line: This paper was designed to evaluate a novel surgical procedure of using a gastroduodenal artery graft for reconstruction of the hepatic artery during radical resection of hilar cholangiocarcinoma, which is citation-free and self-contained.In this paper we retrospectively analyzed the clinical data, surgical procedure, and follow-up results in nine patients who underwent hepatic artery reconstruction using a gastroduodenal artery graft during their radical resection of hilar cholangiocarcinoma and no artery thrombosis or other surgical complications were found after operation with minimum follow-up duration of three months.We recommended that a gastroduodenal artery graft was shown to be a good choice for hepatic artery resection after radical resection of hilar cholangiocarcinoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary Surgery, Hospital & Institute of Hepatobiliary Surgery, PLA General Hospital, Beijing 100853, China.

ABSTRACT
This paper was designed to evaluate a novel surgical procedure of using a gastroduodenal artery graft for reconstruction of the hepatic artery during radical resection of hilar cholangiocarcinoma, which is citation-free and self-contained. In this paper we retrospectively analyzed the clinical data, surgical procedure, and follow-up results in nine patients who underwent hepatic artery reconstruction using a gastroduodenal artery graft during their radical resection of hilar cholangiocarcinoma and no artery thrombosis or other surgical complications were found after operation with minimum follow-up duration of three months. We recommended that a gastroduodenal artery graft was shown to be a good choice for hepatic artery resection after radical resection of hilar cholangiocarcinoma.

No MeSH data available.


Related in: MedlinePlus