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- W2894925699 abstract "Objective: Variations in hepatic arterial anatomy are frequently encountered in patients undergoing Pancreaticoduodenectomies (PD). Unidentified aberrant arterial anatomy can cause inadvertent injury and complications. Methods: Patients undergoing PD between December 2014 till 2017 were included and divided into two groups; according to presence (group A) or absence (group B) of vascular anomalies. Preoperative imaging, operative findings, postoperative complications, recovery and hospital stay of these patients were reviewed and compared. Results: Among a total of 106 cases, vascular anomalies were seen in 31 (30%) cases. Most common anomaly seen was the replaced Right Hepatic artery arising from Superior mesenteric artery (10%). Postoperative pancreatic fistula occurred in 9% patients (4% Group A, 5% Group B). Delayed Gastric Emptying was seen in 20.8% patients of Group A, 20% patients of Group B. Postoperative complications were seen in 54% patients of group A and 60% in Group B. The median operative time was 450 minutes (495 min Group A, 445 min Group B). Median blood loss was 355 ml (Group A 380 ml, Group B 300 ml). Median hospital stay was 10 days (Group A 11 days, Group B 9 days). There was no significant difference between the operative or postoperative outcomes among the two groups. Conclusion: Aberrant hepatic arterial anomalies should preferably be identified on pre operative imaging. Meticulous surgical dissection with artery first technique is useful in minimizing inadvertent damage to aberrant vessels. However presence of aberrant arterial anatomy has no impact on post operative course and recovery." @default.
- W2894925699 created "2018-10-12" @default.
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- W2894925699 date "2018-09-01" @default.
- W2894925699 modified "2023-10-18" @default.
- W2894925699 title "Impact of hepatic arterial anomalies on surgical dissection, post operative recovery and complications following pancreaticoduodenectomies" @default.
- W2894925699 doi "https://doi.org/10.1016/j.hpb.2018.06.2314" @default.
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