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Hokkaido University Collection of Scholarly and Academic Papers >
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Arterioportal shunting as an alternative to microvascular reconstruction after hepatic artery resection.
| Title: | Arterioportal shunting as an alternative to microvascular reconstruction after hepatic artery resection. |
| Authors: | Kondo, S. Browse this author →KAKEN DB | | Hirano, S. Browse this author | | Ambo, Y. Browse this author | | Tanaka, E. Browse this author | | Kubota, T. Browse this author | | Katoh, H. Browse this author |
| Issue Date: | Feb-2004 |
| Publisher: | British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
| Journal Title: | British Journal of Surgery |
| Volume: | 91 |
| Issue: | 2 |
| Start Page: | 248 |
| End Page: | 251 |
| Publisher DOI: | 10.1002/bjs.4428 |
| PMID: | 14760676 |
| Abstract: | 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. |
| Rights: | Copyright © 2004 John Wiley & Sons, Inc., British Journal of Surgery, Vol. 91-2, pp. 248-251 |
| Relation: | http://www.interscience.wiley.com/ |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/15851 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 近藤 哲
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