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Title
  • en Arterioportal shunting as an alternative to microvascular reconstruction after hepatic artery resection.
Creator
    • en Hirano, S.
    • en Ambo, Y.
    • en Tanaka, E.
    • en Kubota, T.
    • en Katoh, H.
Accessrights open access
Rights
  • en Copyright © 2004 John Wiley & Sons, Inc., British Journal of Surgery, Vol. 91-2, pp. 248-251
Subject
  • NDC 494.5
Description
  • Abstract en Background: Portal vein and hepatic artery resection and reconstruction may be required in radical surgery for biliary cancer. Microvascular reconstruction requires special equipment and training, and may be difficult to accomplish when the arterial stump is small, when there are multiple vessels or when the stump lies deep within the wound. This study examined the feasibility and safety of arterioportal shunting as an alternative to arterial reconstruction. Methods: Over 30 months, ten patients with biliary cancer (six bile duct and four gallbladder carcinomas) underwent radical surgery with en bloc resection of the hepatic artery and end-to-side arterioportal reconstruction between the common hepatic or gastroduodenal artery and the portal trunk. Results: No patient died. Complications included bile leakage in two patients and liver abscess in one. Routine angiography performed 1 month after surgery revealed shunt occlusion in three patients. Once the existence of hepatopetal arterial collaterals had been confirmed in the remaining patients, the shunt was occluded by coil embolization. Conclusion: Arterioportal shunting appears to be a safe alternative to microvascular reconstruction after hepatic artery resection. However, the safety of the procedure and its potential to increase the cure rate require further assessment in a larger series with a longer follow-up. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Publisher en British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Date
    Issued2004-02
Language
  • eng
Resource Type journal article
Version Type AM
Identifier HDL http://hdl.handle.net/2115/15851
Relation
  • URI http://www.interscience.wiley.com/
  • isVersionOf DOI https://doi.org/10.1002/bjs.4428
  • PMID 14760676
Journal
    • PISSN 0007-1323
    • EISSN 1365-2168
      • en British Journal of Surgery
      • Volume Number91 Issue Number2 Page Start248 Page End251
File
    • fulltext BJS91-2.pdf
    • 155.83 KB (application/pdf)
      • Issued2004-02
Oaidate 2023-07-26