Mikiya Kishino, Teruhisa Sakamoto, Shinsaku Yata, Kentaro Uehira, Jun Yoshida, M. Morimoto, Yuki Murakami, Naruo Tokuyasu, Y. Fujiwara
2026.2.1YONAGO ACTA MEDICA
tlooto Summary
An 80-year-old man with middle-third cholangiocarcinoma associated with celiac axis stenosis underwent pancreaticoduodenectomy and the anterior arcade that had developed in the pancreatic head as a collateral pathway was preserved as a collateral route to ensure adequate hepatic and gastric perfusion.
Abstract
An 80-year-old man with middle-third cholangiocarcinoma associated with celiac axis stenosis underwent pancreaticoduodenectomy. During surgery, the anterior arcade that had developed in the pancreatic head as a collateral pathway between the superior mesenteric artery and the hepatic artery was preserved as a collateral route to ensure adequate hepatic and gastric perfusion. This may be a useful option for pancreaticoduodenectomy in a patient with celiac axis stenosis.
Citation format
KISHINO, Mikiya, et al. A case of preserving the collateral arterial arcade in the head of the pancreas in a patient with celiac axis stenosis. YONAGO ACTA MEDICA, 2026, 69 1(1): 136–138.