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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Kawaguchi, Nao Kizawa, Shun Daimon, Masahiro Minami, Hiroki Ueda, Yasuhiko Tomioka, Atsushi Komeda, Koji Asakuma, Mitsuhiro Tomiyama, Hideki Lee, Sang-Woong |
| Abstract | Background Coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA) is a well-established, safe procedure. However, problems with RGEA grafts in subsequent abdominal surgeries can lead to fatal complications. This report presents the first case of right hepatectomy for hepatocellular carcinoma after CABG using the RGEA. Case presentation We describe a case in which a right hepatectomy for an 81-year-old male patient with hepatocellular carcinoma was safely performed after CABG using a RGEA graft. Preoperatively, three-dimensional computed tomography (3D- CT) images were constructed to confirm the run of the RGEA graft. The operation was conducted with the standby of a cardiovascular surgeon if there was a problem with the RGEA graft. The RGEA graft had formed adhesions with the hepatic falciform ligament, necessitating meticulous dissection. After the right hepatectomy, the left hepatic lobe descended into the vacated space, exerting traction on the RGEA. However, this traction was mitigated by suturing the hepatic falciform ligament to the abdominal wall, ensuring stability of the RGEA. There were no intraoperative or postoperative complications. Conclusion It is crucial to confirm the functionality and anatomy of the RGEA graft preoperatively, handle it gently intraoperatively, and collaborate with cardiovascular surgeons. |
| Related Links | https://wjso.biomedcentral.com/counter/pdf/10.1186/s12957-024-03401-w.pdf |
| Ending Page | 6 |
| Page Count | 6 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14777819 |
| DOI | 10.1186/s12957-024-03401-w |
| Journal | World Journal of Surgical Oncology |
| Issue Number | 1 |
| Volume Number | 22 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-05-03 |
| Access Restriction | Open |
| Subject Keyword | Surgical Oncology Coronary artery bypass grafting Right gastroduodenal artery graft Right hepatectomy Hepatic falciform ligament |
| Content Type | Text |
| Resource Type | Case study |
| Subject | Oncology Surgery |
| Journal Impact Factor | 2.5/2023 |
| 5-Year Journal Impact Factor | 2.8/2023 |
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