Management of hepatic artery trauma during hepato-pancreato-biliary procedures: Evolving approaches, clinical outcomes, and literature review

Abstract

Management of hepatic artery trauma during hepatopancreato-biliary procedures: Evolving approaches, clinical outcomes, and literature review studies conducted, there is a common belief that more HA injuries occur in patients with anomalies. [3][4][5] In autopsy studies, it has been stated that deaths seen as a result of HA injury are mostly due to liver necrosis. Necrosis that occurs in the liver is diffuse or patchy. [1,3] Although significant improvements in complications and mortality rates due to HA injuries have been detected in recent years, it still continues to cause serious morbidity and mortality. [3,6] Better results are obtained today with a better understanding of liver physiology, antibiotics, early diagnosis, interventional procedures, and improved intensive care conditions.

Importance of Anatomical Variation of the Hepatic Artery for Complicated Liver and Pancreatic Surgeries: A Review Emphasizing Origin and Branching

“…The rejection of the graft due to HAT is seen in 3–9% of cases of OLT [ 80 ]. The liver has a sufficient amount of collateral circulation to maintain blood flow during HAT [ 81 ]. According to the available literature, one-third of cases of HAT are asymptomatic, one-third of cases are asymptomatic in the initial stage but later develop biliary tract ischemia, and one-third of cases develop very serious life-threatening complications such as parenchymal ischemia and necrosis, and a lack of prompt action may lead to death [ 82 , 83 ].…”