Should an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery Be Preserved during Laparoscopic Gastrectomy for Early Gastric Cancer Treatment?
Journal of Gastric Cancer
;
: 72-77, 2016.
Article
in English
| WPRIM
| ID: wpr-164777
ABSTRACT
PURPOSE:
During laparoscopic gastrectomy, an aberrant left hepatic artery (ALHA) arising from the left gastric artery (LGA) is occasionally encountered. The aim of this study was to define when an ALHA should be preserved during laparoscopic gastrectomy. MATERIALS ANDMETHODS:
From August 2009 to December 2014, 1,340 patients with early gastric cancer underwent laparoscopic distal gastrectomy. One hundred fifty patients presented with an ALHA; of the ALHA was ligated in 116 patients and preserved in 34 patients. Patient characteristics, postoperative outcomes and perioperative liver function tests were reviewed retrospectively. Correlations between the diameter of the LGA measured on preoperative abdominal computed tomography and postoperative liver enzyme levels were analyzed.RESULTS:
Pearson's correlation analysis showed a positive correlation between the diameter of the LGA and serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels on postoperative day 1 in the ALHA-ligated group (P=0.039, P=0.026, respectively). Linear regression analysis estimated the diameter of the LGA to be 5.1 mm and 4.9 mm when AST and ALT levels were twice the normal limit on postoperative day 1.CONCLUSIONS:
We suggest preserving the ALHA arising from a large LGA, having diameter greater than 5 mm, during laparoscopic gastrectomy to prevent immediate postoperative hepatic dysfunction.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Aspartate Aminotransferases
/
Stomach Neoplasms
/
Linear Models
/
Retrospective Studies
/
Laparoscopy
/
Alanine Transaminase
/
Gastrectomy
/
Hepatic Artery
/
Liver
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Journal of Gastric Cancer
Year:
2016
Type:
Article
Similar
MEDLINE
...
LILACS
LIS