J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 791KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(11): 1749-1751, 1990

Case report

HEPATIC ARTERY RECONSTRUCTION GRAFTING WITH THE RIGHT GASTROEPIPLOIC ARTERY FOR SURGICAL TREATMENT OF UPPER BILE DUCT CANCER

Dpartment of Surgery, Nagasaki Chuo National Hospital, Nagasaki, Japan
*) The Second Department of Surgery, Nagasaki University, School of Medicine, Nagasaki, Japan

Toshiomi Kusano, Masato Furukawa, Toshinori Nakata, Eisuke Kusaba, Hideto Yamauchi, Tsukasa Tsunoda*), Ryoichi Tsuchiya*)

The right gastroepiploic artery (GEA) was used as hepatic artery graft in 2 patients With advanced upper bile duct cancer. The pedicle, including the right GEA and surrounding tissues, was mobilized along greater curvature of the stomach. The GEA pedicle was raised up beyond the gastric pylorus and was anastomosed to the distal right hepatic artery by interrupted suture technique using 7-0 monofilament-nylon stitches. The patients recovered well without evidences of anastmotic dehiscence of hepatico-jejunostomy and prolonged liver dysfunction beyond three postoperative days. Angiograms at one week after operation showed good patency of the GEA graft. The method of hepatic artery grafting with the right GEA is very simple and useful for surgical treatment of upper bile duct cancer.

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