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EN Bloc Resection of Hepatoduodenal Ligament With Pancreatoduodenectomy for Pancreatic Carcinoma
Yuji Kaneoka^*, Atsuyuki Maeda, Yuichi Takayama

Surgery, Ogaki Municipal Hospital, Ogaki, Japan

An advanced pancreatic head carcinoma, especially locates at the neck of the pancreas, likely invades to the common hepatic artery, and dealt as unresectable. We successfully performed en bloc resection of the hepatoduodenal ligament with pancreatoduodenectomy resulted in good surgical outcome with R0 resection. The important aspect consists of portal vein reconstruction using an external iliac vein graft and hepatic artery reconstruction only between the right hepatic artery and middle colic artery, and the left hepatic artery is sacrificed because collateral blood flows are preserved at hepatic hilum. This surgery is supported by technical demand and also rigorous indication.

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