Reconstruction of the right hepatic artery using gastroepiploic artery for patients with advanced bile duct cancer

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  • 進行胆管癌に対して胃大網動脈を用いた肝動脈再建を施行した2 例
  • シンコウ タンカンガン ニ タイシテ イ ダイモウ ドウミャク オ モチイタ カン ドウミャク サイケン オ シコウシタ 2レイ

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Most of proximal bile duct carcinomas are unresectable because of the anatomic location of these tumors that invaded easily to the hepatic artery and portal vein. We present two cases who had advanced proximal bile duct carcinomas with invasion to the right hepatic artery. The patients underwent curative operation that included extrahepatic bile duct resection combined with dissection of the right hepatic artery. We reconstructed the right hepatic artery using right gastroepiploic artery. The postoperative courses were uneventful in both patients. Postoperative ultrasonography indicated that the right hepatic artery was patent. Use of the right gastroepiploic artery is a safe and effective choice in reconstruction of the right hepatic artery in hepatobiliary surgery.

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