The diagnosis and surgical management for patients with variants of hepatic arteries in the procedure of pancreaticoduodenectomy / 中华外科杂志
Chinese Journal of Surgery
;
(12): 522-524, 2008.
Artículo
en Chino
| WPRIM
| ID: wpr-237772
ABSTRACT
<p><b>OBJECTIVE</b>To study the principle and surgical managements for the patients with anatomic variants of hepatic artery in the procedure of pancreaticoduodenectomy (PD).</p><p><b>METHODS</b>One hundred and seventy-six patients who underwent PD between January 2000 and July 2007 were investigated retrospectively. Hepatic arterial variants were analyzed according to the intraoperative finding and CT imaging were reviewed postoperatively.</p><p><b>RESULTS</b>Hepatic arterial variants were found intraoperatively in 20 cases of all 176 patients. Accessory right heptic artery, replaced right heptic artery and common heptic artery arising from the superior mesenteric artery (SMA) were present in 9 (5.1%), 5 (2.8%), 4 (2.3%) cases respectively,and replaced right heptic artery coming from the gastroduodenal artery was present in 2 cases (2.9%). All the variants of hepatic arteries arising from the superior mesenteric artery could be observed in spiral CT imaging. Most of the variant arteries were dissected intact intraoperatively except 2 cases with accessory right heptic artery arising from SMA.</p><p><b>CONCLUSIONS</b>Performing CT scan preoperatively, especially CTA,is effective to diagnose these disorders. Skillful surgical techniques can manage the anatomic variants safely.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cirugía General
/
Anomalías Congénitas
/
Diagnóstico por Imagen
/
Radiografía
/
Estudios Retrospectivos
/
Pancreaticoduodenectomía
/
Arteria Hepática
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Surgery
Año:
2008
Tipo del documento:
Artículo
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