Blood Supply Assessment of a Gastric Tube Using the Indocyanine Green Fluorescence Method during Pancreaticoduodenectomy in a Patient with Previous Esophagectomy

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  • ICG蛍光法で血流評価し膵頭十二指腸切除術を行った食道癌術後膵腫瘍の1例
  • 症例 ICG蛍光法で血流評価し膵頭十二指腸切除術を行った食道癌術後膵腫瘍の1例
  • ショウレイ ICG ケイコウホウ デ ケツリュウ ヒョウカ シスイトウ ジュウニシチョウ セツジョジュツ オ オコナッタ ショクドウ ガン ジュツゴスイシュヨウ ノ 1レイ

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Abstract

<p>A 69-year-old man who received thoracoscopic esophagectomy with gastric tube reconstruction for esophageal cancer at the age of 64 had an uneventful postoperative course. A cystic lesion in the pancreatic head which had been pointed out before the surgery became larger. Following detailed examination, it was diagnosed as mixed type intraductal papillary mucinous neoplasm. He underwent pylorus preserving pancreaticoduodenectomy (PPPD), sparing the gastric tube, the right gastroepiploic artery and vein, and the right gastric artery and vein. The gastric tube blood flow was evaluated by using the indocyanine green (ICG) fluorescence method during the surgery. To assess the gastric tube blood supply, image evaluation during PPPD is rarely performed but useful for patients who have previously received esophagectomy.</p>

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