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Fainstein I.A.

Blokhin National Medical Research Center of Oncology

Ivanov Yu.V.

Federal Scientific and Clinical Center for Specialized Medical Service and Medical Technologies;
Leading Researcher at Central Research Institute of Tuberculosis

Ishchenko R.V.

Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies

Panchenkov D.N.

Yevdokimov Moscow State University of Medicine and Dentistry of the Russian Federation

Smirnov A.V.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Stankevich V.R.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Cancer of terminal part of common bile duct in a patient with heterotaxy syndrome

Authors:

Fainstein I.A., Ivanov Yu.V., Ishchenko R.V., Panchenkov D.N., Smirnov A.V., Stankevich V.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 58‑63

DOI: 10.17116/hirurgia202104158

Views: 1505

Downloaded: 24

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To cite this article:

Fainstein IA, Ivanov YuV, Ishchenko RV, Panchenkov DN, Smirnov AV, Stankevich VR. Cancer of terminal part of common bile duct in a patient with heterotaxy syndrome. Pirogov Russian Journal of Surgery. 2021;(4):58‑63. (In Russ.)
https://doi.org/10.17116/hirurgia202104158

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Case report is devoted to successful pancreatectomy for cancer of terminal part of common bile duct in a patient with heterotaxy syndrome. The main difficulties during dissection of pancreaticoduodenal complex arose due to anatomical disorientation and the lack of standard topographic and anatomical landmarks. Preoperative computed tomography with assessment of visceral vessel anatomy is essential in all patients with biliopancreaticoduodenal tumors. If heterotaxy syndrome is suspected, additional examination is required to detect other potential abnormalities and prepare for unusual situation.

Keywords:

cancer of terminal part of common bile duct
heterotaxy syndrome
organ transposition
pancreatectomy

Authors:

Fainstein I.A.

Blokhin National Medical Research Center of Oncology

Ivanov Yu.V.

Federal Scientific and Clinical Center for Specialized Medical Service and Medical Technologies;
Leading Researcher at Central Research Institute of Tuberculosis

Ishchenko R.V.

Federal Research and Clinical Center of Specialized Types of Medical Care and Medical Technologies

Panchenkov D.N.

Yevdokimov Moscow State University of Medicine and Dentistry of the Russian Federation

Smirnov A.V.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Stankevich V.R.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Received:

28.04.2020

Accepted:

09.07.2020

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