| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Case Report |
| Article Title |
Treatment strategy for pancreatic head cancer with celiac axis stenosis in pancreaticoduodenectomy: A case report and review of literature
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Eiji Yoshida, Yasutoshi Kimura, Takuro Kyuno, Ryoko Kawagishi, Kei Sato, Tsuyoshi Kono, Takehiro Chiba, Toshimoto Kimura, Hitoshi Yonezawa, Osamu Funato, Makoto Kobayashi, Kenji Murakami, Akinori Takagane and Ichiro Takemasa |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Yasutoshi Kimura, MD, PhD, Associate Professor, Surgeon, Department of Surgery, Surgical Oncology and Science, Sapporo Medical University, S-1, W-16, Chuo-ku,, Sapporo city 060-8543, Hokkaido, Japan. kimuray@sapmed.ac.jp |
| Key Words |
Pancreaticoduodenectomy; Celiac axis stenosis; Median arcuate ligament; Endovascular stenting; Pancreatic head cancer; Case report |
| Core Tip |
Celiac axis stenosis (CAS), caused by the median arcuate ligament, is an anatomical anomaly that should be noted when performing pancreaticoduodenectomy. In this case, an endovascular stent was placed preoperatively to recanalize the stenotic celiac axis, allowing the patient to safely undergo radical surgery without concern for intraoperative organ perfusion. The point to be highlighted with this preoperative strategy, was the use of double-antiplatelet therapy following endovascular stenting, during the interval when for neoadjuvant chemotherapy for pancreatic cancer (PC), thus providing a rational and effective combination of the two preoperative treatments for patients with PC and CAS. |
| Publish Date |
2022-02-24 09:46 |
| Citation |
Yoshida E, Kimura Y, Kyuno T, Kawagishi R, Sato K, Kono T, Chiba T, Kimura T, Yonezawa H, Funato O, Kobayashi M, Murakami K, Takagane A, Takemasa I. Treatment strategy for pancreatic head cancer with celiac axis stenosis in pancreaticoduodenectomy: A case report and review of literature. World J Gastroenterol 2022; 28(8): 868-877 |
| URL |
https://www.wjgnet.com/1007-9327/full/v28/i8/868.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v28.i8.868 |
