The implications of the presence of an aberrant right hepatic artery in patients undergoing a pancreaticoduodenectomy

Jah, Asif; Jamieson, Neville V.; Huguet, Emmanuel; Praseedom, Raaj K.

doi:10.1007/s00595-009-3947-3

Cited by 70 publications

(77 citation statements)

References 17 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Classically, the presence of an arterial variant could be a contraindication for surgery (12). Nowadays, we know that oncologic surgery of the head of the pancreas is feasible in the presence of a variant hepatic artery (5). Arterial variant involves a technical difficulty that may determine a more conservative resection of the pancreas, especially for retropancreatic plane and lead an inadequate removal of the tumor (9).…”

Section: Discussionmentioning

confidence: 99%

“…Probably the presence of a RHA influenced in making a more radical and meticulous resection of the retropancreatic margin. According to Jah et al (5) variant of the right hepatic artery may have three different courses in relation to the head of the pancreas, which may have important consequences for pancreaticoduodenectomy (5).…”

Section: Discussionmentioning

confidence: 99%

“…Aberrant right hepatic artery is defined as a unique right hepatic artery originating from SMA (5). When the right hepatic lobe is irrigated by two arteries, one right hepatic arising from the hepatic artery and another right hepatic artery from SMA, we say that the latter is an accessory right hepatic artery (5) (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…The presence of a right hepatic artery (RHA) branch from SMA during pancreatic cancer surgery may have important implications. First, RHA branch from SMA has high chances of being encompassed by cephalo-pancreatic tumors (5). During surgery it is possible to injury a hepatic artery arising from SMA or otherwise may compromise the R0 resection in an attempt to preserve it.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Implication of the presence of a variant hepatic artery during the Whipple procedure

Rubio-Manzanares-Dorado¹,

Marín-Gómez²,

Aparicio-Sánchez³

et al. 2015

Rev Esp Enferm Dig

View full text Add to dashboard Cite

Introduction:The anatomical variants of the hepatic artery may have important implications for pancreatic cancer surgery. The aim of our study is to compare the outcome following a pancreatoduodenectomy (PD) in patients with or without a variant hepatic artery arising from superior mesenteric artery. Material and methods:We reviewed 151 patients with periampullary tumoral pathology. All patients underwent oncological PD between January 2005 and February 2012. Our series was divided into two groups: Group A: Patients with a hepatic artery arising from superior mesenteric artery; and Group B: Patients without a hepatic artery arising from superior mesenteric artery. We expressed the results as mean ± standard deviation for continuous variables and percentages for qualitative variables. Statistical tests were considered significant if p < 0.05. Results:We identified 11 patients with a hepatic artery arising from superior mesenteric artery (7.3%). The most frequent variant was an aberrant right hepatic artery (n = 7), following by the accessory right hepatic artery (n = 2) and the common hepatic artery trunk arising from the superior mesenteric artery (n = 2). In 73% of cases the diagnosis of the variant was intraoperative. R0 resection was performed in all patients with a hepatic artery arising from superior mesenteric artery. There were no significant differences in the tumor resection margins and the incidence of postoperative complications.Conclusion: Oncological PD is feasible by the presence of a hepatic artery arising from superior mesenteric artery. The complexity of having it does not seem to influence in tumor resection margins, complications and survival.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implication of the presence of a variant hepatic artery during the Whipple procedure

Rubio-Manzanares-Dorado¹,

Marín-Gómez²,

Aparicio-Sánchez³

et al. 2015

Rev Esp Enferm Dig

View full text Add to dashboard Cite

show abstract

“…Final results have been submitted on a randomized multicenter trial that investigated surgery versus radiochemotherapy in the treatment of resectable locally invasive pancreatic cancer. 21 Surgical techniques are the topics of many articles, including a multicenter study showing that extrahepatic bile duct resection did not contribute to better prognosis in advanced gallbladder carcinoma, 22 along with reports on the signifi cance of aberrant right hepatic artery 23 and of pylorus preservation 24 in pancreaticoduodenectomy. In addition to the above-mentioned clinical reports that were submitted, basic research fi ndings have been reported, such as the effect of FTY720 in small bowel transplantation 25 and of endothelial molecular markers in the evaluation of acute pancreatitis severity.…”

Section: Liver and Transplantationmentioning

confidence: 99%