Case Report
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World J Gastrointest Surg. Jul 27, 2013; 5(7): 224-228
Published online Jul 27, 2013. doi: 10.4240/wjgs.v5.i7.224
Reconstruction of the hepatic artery with the middle colic artery is feasible in distal pancreatectomy with celiac axis resection: A case report
Hideki Suzuki, Yasuo Hosouchi, Shigeru Sasaki, Kenichiro Araki, Norio Kubo, Akira Watanabe, Hiroyuki Kuwano
Hideki Suzuki, Yasuo Hosouchi, Shigeru Sasaki, Kenichiro Araki, Norio Kubo, Akira Watanabe, Hiroyuki Kuwano, Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, Maebashi 371-8511, Japan
Author contributions: Suzuki H contributed to critical revision of the article for important intellectual content; Hosouchi Y, Sasaki S, Arak K, Kubo N and Watanabe A contributed to collection and assembly of data; Kuwano H contributed to final approval of the article.
Correspondence to: Hideki Suzuki, MD, FACS, Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showamachi, Maebashi 371-8511, Japan. hidesu@med.gunma-u.ac.jp
Telephone: +81-272-208224 Fax: +81-272-208230
Received: March 1, 2013
Revised: May 22, 2013
Accepted: June 5, 2013
Published online: July 27, 2013
Core Tip

Core tip: The present case report shows a patient with a pancreatic body cancer in whom the splenic, celiac, and common hepatic arteries were involved with the tumor, which extended almost to the root of the gastroduodenal artery. We modified the procedure by reanastomosis between the proper hepatic artery and middle colic artery without vascular graft.