Hyuga Satoshi, Asaoka Tadafumi, Ohashi Tomofumi, Mikamori Manabu, Furukawa Kenta, Takeda Mitsunobu, Iwamoto Kazuya, Nakahara Yujiro, Naito Atsushi, Otsuka Masahisa, Moon Jeongho, Imasato Mitsunobu, Kishi Kentaro, Nishida Yoshinori, Mizushima Tsunekazu
Dept. of Gastroenterological Surgery, Osaka Police Hospital.
Gan To Kagaku Ryoho. 2023 Mar;50(3):351-353.
In cases of pancreatic cancer with anatomical variations of the hepatic artery, it is important to evaluate the hemodynamics of each case for surgical indication. We report the case of a 68-year-old man with locally advanced pancreatic cancer and an aberrant right hepatic artery who underwent distal pancreatectomy with celiac axis resection(DP-CAR). He was admitted to our institute due to abdominal discomfort. A CT scan showed pancreatic cancer invading the common hepatic artery. He underwent chemoradiotherapy with a diagnosis of locally advanced pancreatic cancer. After the tumor downstaging, we performed DP-CAR, which included a gastroduodenal artery and a proper hepatic artery resection. Even though delayed gastric emptying was observed after the operation, he was discharged on postoperative day 36.
对于存在肝动脉解剖变异的胰腺癌病例，评估每个病例的血流动力学以确定手术指征非常重要。我们报告一例68岁男性，患有局部进展期胰腺癌且右肝动脉异常，接受了联合腹腔干切除的远端胰腺切除术（DP-CAR）。他因腹部不适入住我院。CT扫描显示胰腺癌侵犯肝总动脉。他被诊断为局部进展期胰腺癌并接受了放化疗。在肿瘤降期后，我们实施了DP-CAR，其中包括胃十二指肠动脉和肝固有动脉切除。尽管术后观察到胃排空延迟，但他在术后第36天出院。
