Published in:
01-04-2019 | Letter to the Editor
Feasibility and Safety of Spleno-Aortic Bypass in Patients with Atheromatous Celiac Trunk Stenosis in Pancreaticoduodenectomy
Authors:
Tullio Piardi, Rami Rhaiem, Arman Aghei, Francesco Fleres, Yohann Renard, Ambroise Duprey, Daniele Sommacale, Reza Kianmanesh
Published in:
Journal of Gastrointestinal Surgery
|
Issue 4/2019
Login to get access
Excerpt
In cases of celiac trunk (Ct) occlusion in patients requiring pancreaticoduodenectomy (PD), hepatic arterial flow must be preserved to avoid complications, such as hepatic ischemia. From January 2012 to August 2018, 183 PD were performed in the Digestive and Hepatobiliary Surgery Department-University of Reims-France. In 5 patients (2.7%), we observed, in the preoperative imaging study, a pre-occlusive atheromatous stenosis of the Ct. Among them, 3 patients deemed non-manageable by endovascular techniques. Herein, we report the results of a new strategy with a spleno-aortic bypass (SAB) associated to PD to overcome the Ct stenosis. …