Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy


Journal Article

© 2015 Published by Elsevier Ltd. on behalf of Surgical Associates Ltd. As surgery becomes more successful for complicated malignancies, patients survive longer and can unfortunately develop subsequent malignancies. Surgical resection in these settings can be treacherous and manipulations of the patient's anatomy need to be closely considered before embarking on major operations. We report a case of a patient who survived esophageal resection for locally advanced esophageal cancer only to develop a new pancreatic head malignancy. Careful upfront planning allowed for a successful resection with an uncomplicated recovery. She underwent open pancreaticoduodenectomy, and to maintain perfusion to the gastric conduit a microvascular anastomosis of the gastroepiploic pedicle was performed to the middle colic vessels. Intraoperative fluorescent imaging was used to evaluate the anastomosis as well as gastric and duodenal perfusion during the case.

Full Text

Duke Authors

Cited Authors

  • Pagkratis, S; Virvilis, D; Phillips, BT; Bao, PQ; Khan, SU; Ganz, JC; Watkins, KT

Published Date

  • January 1, 2015

Published In

Volume / Issue

  • 9 /

Start / End Page

  • 39 - 43

International Standard Serial Number (ISSN)

  • 2210-2612

Digital Object Identifier (DOI)

  • 10.1016/j.ijscr.2015.02.028

Citation Source

  • Scopus