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

Publication ,  Journal Article
Pagkratis, S; Virvilis, D; Phillips, BT; Bao, PQ; Khan, SU; Ganz, JC; Watkins, KT
Published in: Int J Surg Case Rep
2015

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.

Duke Scholars

Published In

Int J Surg Case Rep

DOI

ISSN

2210-2612

Publication Date

2015

Volume

9

Start / End Page

39 / 43

Location

Netherlands

Related Subject Headings

  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pagkratis, S., Virvilis, D., Phillips, B. T., Bao, P. Q., Khan, S. U., Ganz, J. C., & Watkins, K. T. (2015). Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy. Int J Surg Case Rep, 9, 39–43. https://doi.org/10.1016/j.ijscr.2015.02.028
Pagkratis, Spyridon, Dimitrios Virvilis, Brett T. Phillips, Philip Q. Bao, Sami U. Khan, Jason C. Ganz, and Kevin T. Watkins. “Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy.Int J Surg Case Rep 9 (2015): 39–43. https://doi.org/10.1016/j.ijscr.2015.02.028.
Pagkratis S, Virvilis D, Phillips BT, Bao PQ, Khan SU, Ganz JC, et al. Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy. Int J Surg Case Rep. 2015;9:39–43.
Pagkratis, Spyridon, et al. “Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy.Int J Surg Case Rep, vol. 9, 2015, pp. 39–43. Pubmed, doi:10.1016/j.ijscr.2015.02.028.
Pagkratis S, Virvilis D, Phillips BT, Bao PQ, Khan SU, Ganz JC, Watkins KT. Creation of gastric conduit free-graft with intraoperative perfusion imaging during pancreaticoduodenectomy in a patient post esophagectomy. Int J Surg Case Rep. 2015;9:39–43.
Journal cover image

Published In

Int J Surg Case Rep

DOI

ISSN

2210-2612

Publication Date

2015

Volume

9

Start / End Page

39 / 43

Location

Netherlands

Related Subject Headings

  • 1103 Clinical Sciences