Preoperative blood circulation modification prior to pancreaticoduodenectomy in patients with celiac trunk occlusion: Two case reports

Table 1 Outcome of treatment in case of CA stenosis due to atherosclerosis

Ref.	Number of cases	Age, yr	Disease	Degree of CA stenosis	Treatment	Time between vascular reconstruction and surgery	Outcome	Discharged POD
Berney et al[9], 1999	13	69 median ages	Pancreatic adenocarcinoma	9 occlusion, 5 subtotal stenosis, 1 partial stenosis	2 GDA preservation	IO	Pancreatic fistula	N/A
			Pancreatic adenocarcinoma		1 aortohepatic bypass	IO	No complications
			2 Pancreatic adenocarcinoma, 5 chronic pancreatitis, 1 ampullary cancer, 1 duodenal adenoma		9 no reconstruction	IO	2 liver ischemia3 pancreatic fistulas
			Pancreatic adenocarcinoma		1 CeA reimplantation	IO	No complications
Nara et al[2], 2005	2	57	Duodenal cancer	Occlusion	Middle colic right gastroepiploic anastomosis	IO	Transient liver ischemia	35 d
		61	Duodenal cancer	Occlusion	Preservation of replaced RHA	IO	Pancreatic fistula	128 d
Hayashibe et al[17], 2005	1	75	Duodenal cancer	Occlusion	Aorta-CHA venous bypass	IO	No complications	35 d
Halazun et al[16], 2006	1	65	CCA	50%	Preoperative stent	1 d	No complications	N/A
Soonawalla et al[5], 2007	1	60	Pancreatic adenocarcinoma	Occlusion	CeA reimplantation into aorta	IO	No complications	N/A
Smith et al[18], 2007	10	76 median ages (73-86)	Adenocarcinoma, ampullary tumor, islet cell tumor, papillary tumor	3 pt 30%; 1 pt 20%; 2 pt 50%; 1 pt 25%; 2 pt 60%; 1 pt occlusion	10 no reconstruction	IO	1 death for MOF, 1 GI bleeding	N/A
Gaujoux et al[4], 2009	3	72	Malignant ampulloma	N/A	Aortohepatic bypass	IO	Pancreatic fistula	N/A
	59	Pancreatic adenocarcinoma	N/A	Preoperative CeA stent	3 wk	Pancreatic fistula	N/A
	77	Malignant ampulloma	N/A	Postoperative CeA stent	0 POD	Pancreatic fistula	N/A
El-Ghazaly et al[19], 2009	1	70	Pancreatic adenocarcinoma	Occlusion	Anterior pancreaticoduodenal arcade resected and anastomosed end-to-end	IO	No complications	10 d
Berselli et al[20], 2010	1	72	Branch type IPMN	Occlusion	Side to side anastomosis SPPDA to the IPPDA	IO	Pancreatic fistula, GI bleeding, Splenic artery pseudoaneurysm	97 d
Yi et al[21], 2014	1	51	NET	N/A	Preoperative angioplasty and stent of CA	1 mo	No complications	7 d
Beane et al[22], 2017	1	69	Pancreatic cancer	Occlusion	SMA to HA venous bypass	IO	Pancreatic fistula, GI bleeding, pseudoaneurysm of graft; hepatic abscess (4 mo after discharge)	30 d
Zhou et al[10], 2018	84	73 median ages (61-88)	N/A	47 pt (mild 1%-49%); 37 pt (substantial 50%-99%)	No treatment	IO	2 deaths, 2 GI bleeding, 11 biliary fistulas, 8 pancreatic fistulas	21 d median (8-21 POD)
Tagkalos et al[23], 2018	1	64	Pancreatic adenocarcinoma	Occlusion (postoperative diagnosis)	Heparinization	3 POD	Transient liver ischemia	14 d
Oikawa et al[7], 2022	1	80	CCA	Occlusion	No reconstruction	IO	Pancreatic fistula	41 d

IO: Intraoperative; CCA: Cholangiocarcinoma; N/A: Not applicable; POD: Postoperative day.