J Minim Invasive Surg.  2021 Jun;24(2):104-108. 10.7602/jmis.2021.24.2.104.

Laparoscopic pancreaticoduodenectomy with excision of aberrant right hepatic artery after preoperative segmental embolization in mid-bile duct cancer

  • 1Division of HBP Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea
  • 2Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 3Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 4Pancreatobiliary Cancer Center, Yonsei Cancer Center, Severance Hospital, Seoul, Korea


Laparoscopic pancreaticoduodenectomy has proven to be a safe and effective alternative to open pancreati coduodenectomy with similar oncologic outcomes. Cases including excision of the hepatic artery with or without reconstruction during pancreaticoduodenectomy have been reported for periampullary cancer. Here we present a case of an 82-year-old patient who underwent laparoscopic pancreaticoduodenectomy following preoperative arterial embolization of an aberrant right hepatic artery arising from the superior mesenteric artery.


Common bile duct neoplasms; Laparoscopy; Pancreaticoduodenectomy; Hepatic artery; Embolization
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