Comment gérer une plaie de l’artère hépatique au cours d’une duodénopancréatectomie. Revue systématique

Landen, S; Ursaru, D.; Delugeau, V.; Landen, Charles N.

doi:10.1016/j.jchirv.2017.05.003

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2023

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“…It may vascularize the left lobe, the left liver or, exceptionally, the entire liver. -RHA is found in 13 to 26% of cases [10]. It stands alone in 3% of patients.…”

Section: Figurementioning

confidence: 94%

Surgical implications of anatomical variations in hepatic arteries

Yassine EL BOUAZIZI,

Mohamed BOUZROUD,

Mohamed LAMGHARI

et al. 2023

World J. Adv. Res. Rev.

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Modal arterial vascularization of the liver is ensured by the common hepatic artery, branch of the celiac trunk. Anatomical variations are explained by the persistence or regression of primitive segmental arterial branches in the embryo. The aim of our work is to review the anatomy of the HA and the surgical implications arising from its variations, through a few observations. These variations have an impact primarily on hepatobiliary and pancreatic surgery, liver transplantation, as well while performing gastrectomy or interventional radiology procedures. Ignorance of these variants can lead to errors in surgical technique, often resulting in serious complications, dominated by intraoperative hemorrhage and ischemia or postoperative biliodigestive anastomosis leakage and biliary necrosis. Preoperative arterial CT-scan is the method of choice for mapping hepatic arterial anatomy and its variations.

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“…It may vascularize the left lobe, the left liver or, exceptionally, the entire liver. -RHA is found in 13 to 26% of cases [10]. It stands alone in 3% of patients.…”

Section: Figurementioning

confidence: 94%