Use of the Gastroduodenal Artery in Hepatic Artery Reconstruction for Iatrogenic Hepatic Artery Injury During Laparoscopic Total Gastrectomy: Case Report and Review of the Literature

Tan, Zoe; Ch’ng, Jack Kian

doi:10.1016/j.avsg.2019.12.014

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…In the condition of cancer of the head of the pancreas, if the aberrant artery is present and passing through the head, then transaction of the artery is inevitable. To reconstruct the small gap in the artery, primary anastomosis is performed, and if the segment is long, reconstruction with reimplantation is performed [ 57 , 63 ]. For reimplantation gastroduodenal artery, LGA and middle colic artery are commonly used [ 62 , 64 , 65 ].…”

Section: Clinical Applications Of the Hepatic Artery Variationsmentioning

confidence: 99%

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

Malviya

Verma

2023

Diagnostics

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Knowledge of anatomical variations of the hepatic artery from its origin to intrahepatic segmentation is of utmost importance for planning upper abdominal surgeries including liver transplantation, pancreatoduodenectomy, and biliary reconstruction. The origin and branching pattern of the hepatic artery was thoroughly described by the classification of Michels and Hiatt. Some rare variations of the hepatic artery were classified by Kobayashi and Koops. By the use of the multidetector computed tomography (MDCT) technique, the branching pattern of the hepatic artery can be visualized quite accurately. Unawareness of these arterial variations may lead to intraoperative injuries such as necrosis, abscess, and failure of the liver and pancreas. The origin and course of the aberrant hepatic arteries are crucial in the surgical planning of carcinoma of the head of the pancreas and hepatobiliary surgeries. In liver transplant surgeries, to minimize intraoperative bleeding complications and postoperative thrombosis, exact anatomy of the branching of the hepatic artery, its variations and intrahepatic course is of utmost importance. This review discusses variations in the anatomy of the hepatic artery from its origin to branching by the use of advanced imaging techniques and its effect on the liver, pancreatic, biliary and gastric surgeries.

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