10 September 2022: Articles
A 47-Year-Old Man with Advanced Distal Pancreatic Carcinoma and an Initial Partial Response to Chemotherapy Requiring Celiac Axis Reconstruction of the Common Hepatic Artery and Left Gastric Artery
Unusual or unexpected effect of treatment
Ayano Sakai E , Takamichi Igarashi E , Isaku Yoshioka E , Kazuto Shibuya E , Nana Kimura E , Yuuko Tohmatsu E , Toru Watanabe E , Katsuhisa Hirano E , Haruyoshi Tanaka E , Satoshi Onoda E , Noriko Okuno E , Takeru Hamashima E , Johji Imura E , Toshihiko Satake E , Tsutomu Fujii E*DOI: 10.12659/AJCR.936840
Am J Case Rep 2022; 23:e936840
Figure 2. (A) Intraoperative findings before the tumor removal. The tumor had invaded the celiac artery (CA), common hepatic artery (CHA), left gastric artery (LGA), and splenic artery (SPA). (B) Intraoperative findings after the tumor removal and vascular dissection. (C) Intraoperative findings. We anastomosed the superior mesenteric artery (SMA) to the CHA using the middle colic artery (MCA) and anastomosed the second jejunal artery (J2A) to the LGA. The black arrowhead indicates CHA-MCA anastomosis, and the black arrow indicates LGA-J2A anastomosis.