Release of median-arcuate ligament under laparotomy for patients with hepatobiliarypancreatic cancer complicated with celiac artery compression syndrome

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  • 肝胆膵癌患者における腹腔動脈起始部圧迫症候群を伴う場合の弓状靭帯切離術
  • カンタンスイガン カンジャ ニ オケル フククウ ドウミャクキシブ アッパク ショウコウグン オ トモナウ バアイ ノ キュウジョウ ジンタイ セツリジュツ

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Abstract

In patients with hepatobiliary-pancreatic cancer, celiac artery compression syndrome (CACS) causes the technical difficulties of trans-arterial intervention or surgical therapies such as pancreaticoduodenectomy. Here, we report the surgical procedure of the release of median-arcuate ligament under laparotomy and its benefits based on three cases with hepatocellular carcinoma (HCC) or bile duct carcinoma complicated with CACS. Surgical decompression of CACS is relatively easy method and could contribute re-modification of blood supply from celiac artery.

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