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A Case of Appleby's Operation With Reconstruction of Hepatic Artery for Advanced Gastric Carcinoma

Year: 1992

Type: article

Abstract: This paper describes a case of Appleby's operation with reconstruction of hepatic artery by saphenous vein grafting for an advanced gastric carcinoma. A 74-year-old man had an advanced gastric carcinoma with direct invasion to the lateral segment of the liver and transverse mesocolon. Total gastrectomy, distal pancreatectomy, splenectomy, choleiystectomy, lateral segmentectomy of the liver, and partial resection of the transverse colon were performed. Since the common hepatic artery was entangled by the metastatic lymph nodes, the celiac artery was excised at its root and the proper hepatic artery and gastroduodenal artery were divided. To avoid ischemic liver damage, the hepatic artery was reconstructed using a saphenous vein graft. Postoperative liver function was satisfactorily maintained.

Source: The journal of the Japanese Practical Surgeon Society

DOI: 10.3919/ringe1963.53.2145

Authors: Yoshiharu NISHIMURA, Hiroaki TAKENAKA, Kazuhiro IWASE, Akihiko YAGURA, Katsuhide YOSHIDOME, Takahito OHNISHI, Motohide TAKAGAKI, Tohru ISHIZAKA, Toshiya BESSHO, Toshihiro OHHATA, Masayoshi INOUE, Senya OHSHIMA, Toshiyuki HIRANAKA, Tomoyuki TANAKA

Institution: Kinan Hospital

Language: English

Topic: Gastric Cancer Management and Outcomes

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2318339596

FWCI:

Cites: 1

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Related to: 10