TY - JOUR
T1 - Replaced gastroduodenal artery
T2 - Added benefit of the "artery first" approach during pancreaticoduodenectomy - A case report
AU - Younan, George
AU - Chimukangara, Munyaradzi
AU - Tsai, Susan
AU - Evans, Douglas B.
AU - Christians, Kathleen K.
N1 - Publisher Copyright:
© 2016 The Authors. Published by Elsevier Ltd. on behalf of IJS Publishing Group Ltd.
PY - 2016
Y1 - 2016
N2 - Introduction Variations in hepatic arterial anatomy are frequently encountered in pancreas and liver surgery. These aberrancies add technical complexity to the procedure and can result in significant patient morbidity if these vascular nuances are not recognized. Presentation of case We report a case whereby a superior mesenteric artery first approach was used to locate and preserve an aberrant left hepatic artery arising from a replaced gastroduodenal artery emanating from the SMA during pancreaticoduodenectomy. The procedure was done for resection of a large duodenal adenoma. Discussion High-quality preoperative imaging and mastery in surgical expertise are requirements for identification and preservation of aberrant hepatic arterial anatomy during procedures involving vital intra-abdominal organs. Conclusion Our aim is to provide awareness of rare vascular anomalies encountered during pancreaticoduodenectomy and provide a unique method for successful management.
AB - Introduction Variations in hepatic arterial anatomy are frequently encountered in pancreas and liver surgery. These aberrancies add technical complexity to the procedure and can result in significant patient morbidity if these vascular nuances are not recognized. Presentation of case We report a case whereby a superior mesenteric artery first approach was used to locate and preserve an aberrant left hepatic artery arising from a replaced gastroduodenal artery emanating from the SMA during pancreaticoduodenectomy. The procedure was done for resection of a large duodenal adenoma. Discussion High-quality preoperative imaging and mastery in surgical expertise are requirements for identification and preservation of aberrant hepatic arterial anatomy during procedures involving vital intra-abdominal organs. Conclusion Our aim is to provide awareness of rare vascular anomalies encountered during pancreaticoduodenectomy and provide a unique method for successful management.
KW - Artery first
KW - Pancreaticoduodenectomy
KW - Replaced gastroduodenal artery
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U2 - 10.1016/j.ijscr.2016.04.014
DO - 10.1016/j.ijscr.2016.04.014
M3 - Article
C2 - 27124718
AN - SCOPUS:84964669792
SN - 2210-2612
VL - 23
SP - 93
EP - 97
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
ER -