The Impact of Aberrant Hepatic Artery on Resection Margin and Outcomes of Laparoscopic Pancreatoduodenectomy: A Single-Center Report
Background Variations in the anatomy of the hepatic artery are common. This study was aimed at sharing our experience with identifying and protecting the aberrant hepatic artery (AHA) and discussing its impact on the resection margin and outcomes of laparoscopic pancreatoduodenectomy (LPD). Methods...
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| Veröffentlicht in: | World journal of surgery 2021-10, Vol.45 (10), p.3183-3190 |
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| creator | Wang, Shupeng Chen, Qinmin Liu, Songyang Zhang, Wei Ji, Bai Liu, Yahui |
| description | Background
Variations in the anatomy of the hepatic artery are common. This study was aimed at sharing our experience with identifying and protecting the aberrant hepatic artery (AHA) and discussing its impact on the resection margin and outcomes of laparoscopic pancreatoduodenectomy (LPD).
Methods
A total of 576 patients who underwent LPD between 2015 and 2020 were retrospectively selected and divided into AHA and no AHA groups for this study. The demographics of the patients, pathological features, surgical data, and postoperative complications were further compared and analyzed between the two groups.
Results
The AHA group included 127 patients (22.05%). No statistically significant differences were found between the AHA and no AHA groups in the intraoperative data, postoperative complications, and long-term survival with malignant tumor. There was also no significant difference in the R1 rate for pancreatic adenocarcinoma.
Conclusions
AHA appears frequently; however, it does not change the incidence of perioperative adverse events following LPD or the long-term prognosis of malignant tumor. The preservation of AHA during surgery can be achieved with a well-planned approach and careful dissection. |
| doi_str_mv | 10.1007/s00268-021-06231-z |
| format | Article |
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Variations in the anatomy of the hepatic artery are common. This study was aimed at sharing our experience with identifying and protecting the aberrant hepatic artery (AHA) and discussing its impact on the resection margin and outcomes of laparoscopic pancreatoduodenectomy (LPD).
Methods
A total of 576 patients who underwent LPD between 2015 and 2020 were retrospectively selected and divided into AHA and no AHA groups for this study. The demographics of the patients, pathological features, surgical data, and postoperative complications were further compared and analyzed between the two groups.
Results
The AHA group included 127 patients (22.05%). No statistically significant differences were found between the AHA and no AHA groups in the intraoperative data, postoperative complications, and long-term survival with malignant tumor. There was also no significant difference in the R1 rate for pancreatic adenocarcinoma.
Conclusions
AHA appears frequently; however, it does not change the incidence of perioperative adverse events following LPD or the long-term prognosis of malignant tumor. The preservation of AHA during surgery can be achieved with a well-planned approach and careful dissection.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-021-06231-z</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adenocarcinoma ; Cardiac Surgery ; Complications ; Demography ; General Surgery ; Hepatic artery ; Laparoscopy ; Liver ; Medical prognosis ; Medicine ; Medicine & Public Health ; Original Scientific Report ; Pancreatic cancer ; Pancreaticoduodenectomy ; Patients ; Statistical analysis ; Surgery ; Thoracic Surgery ; Tumors ; Vascular Surgery</subject><ispartof>World journal of surgery, 2021-10, Vol.45 (10), p.3183-3190</ispartof><rights>Société Internationale de Chirurgie 2021</rights><rights>2021 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4039-2f24c38e21b23f0c766d502f40dade3159f465ae115309ac0dd790c4b6316f953</citedby><cites>FETCH-LOGICAL-c4039-2f24c38e21b23f0c766d502f40dade3159f465ae115309ac0dd790c4b6316f953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-021-06231-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-021-06231-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,41486,42555,45572,45573,51317</link.rule.ids></links><search><creatorcontrib>Wang, Shupeng</creatorcontrib><creatorcontrib>Chen, Qinmin</creatorcontrib><creatorcontrib>Liu, Songyang</creatorcontrib><creatorcontrib>Zhang, Wei</creatorcontrib><creatorcontrib>Ji, Bai</creatorcontrib><creatorcontrib>Liu, Yahui</creatorcontrib><title>The Impact of Aberrant Hepatic Artery on Resection Margin and Outcomes of Laparoscopic Pancreatoduodenectomy: A Single-Center Report</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><description>Background
Variations in the anatomy of the hepatic artery are common. This study was aimed at sharing our experience with identifying and protecting the aberrant hepatic artery (AHA) and discussing its impact on the resection margin and outcomes of laparoscopic pancreatoduodenectomy (LPD).
Methods
A total of 576 patients who underwent LPD between 2015 and 2020 were retrospectively selected and divided into AHA and no AHA groups for this study. The demographics of the patients, pathological features, surgical data, and postoperative complications were further compared and analyzed between the two groups.
Results
The AHA group included 127 patients (22.05%). No statistically significant differences were found between the AHA and no AHA groups in the intraoperative data, postoperative complications, and long-term survival with malignant tumor. There was also no significant difference in the R1 rate for pancreatic adenocarcinoma.
Conclusions
AHA appears frequently; however, it does not change the incidence of perioperative adverse events following LPD or the long-term prognosis of malignant tumor. The preservation of AHA during surgery can be achieved with a well-planned approach and careful dissection.</description><subject>Abdominal Surgery</subject><subject>Adenocarcinoma</subject><subject>Cardiac Surgery</subject><subject>Complications</subject><subject>Demography</subject><subject>General Surgery</subject><subject>Hepatic artery</subject><subject>Laparoscopy</subject><subject>Liver</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Scientific Report</subject><subject>Pancreatic cancer</subject><subject>Pancreaticoduodenectomy</subject><subject>Patients</subject><subject>Statistical analysis</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Tumors</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkcFu1DAQhi0EEkvhBThZ4sIlMGMnzqa3ZUVp0aIiWsTR8jqTJVViB9sR2p55cLwECYkD4uQ5fN_vGf2MPUd4hQD16wgg1LoAgQUoIbG4f8BWWEpRCCnkQ7YCqco8o3zMnsR4B4C1ArViP26_Er8aJ2MT9x3f7CkE4xK_pMmk3vJNSBSO3Dv-iSLZ1OfpgwmH3nHjWn49J-tHiid3ZyYTfLR-yt5H42wgk3w7-5ZcNv14POcbftO7w0DFllwOzqGTD-kpe9SZIdKz3-8Z-3zx9nZ7Weyu311tN7vCliCbQnSitHJNAvdCdmBrpdoKRFdCa1qSWDVdqSpDiJWExlho27oBW-6VRNU1lTxjL5fcKfhvM8Wkxz5aGgbjyM9Ri6rCao0N1hl98Rd65-fg8naZUvUahIATJRbK5sNjoE5PoR9NOGoEfSpGL8XoXIz-VYy-z9L5In3vBzr-h6G_vL95cwEosMmyXOSYPXeg8Gevf3z5E5-Noog</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Wang, Shupeng</creator><creator>Chen, Qinmin</creator><creator>Liu, Songyang</creator><creator>Zhang, Wei</creator><creator>Ji, Bai</creator><creator>Liu, Yahui</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>The Impact of Aberrant Hepatic Artery on Resection Margin and Outcomes of Laparoscopic Pancreatoduodenectomy: A Single-Center Report</title><author>Wang, Shupeng ; Chen, Qinmin ; Liu, Songyang ; Zhang, Wei ; Ji, Bai ; Liu, Yahui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4039-2f24c38e21b23f0c766d502f40dade3159f465ae115309ac0dd790c4b6316f953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal Surgery</topic><topic>Adenocarcinoma</topic><topic>Cardiac Surgery</topic><topic>Complications</topic><topic>Demography</topic><topic>General Surgery</topic><topic>Hepatic artery</topic><topic>Laparoscopy</topic><topic>Liver</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Scientific Report</topic><topic>Pancreatic cancer</topic><topic>Pancreaticoduodenectomy</topic><topic>Patients</topic><topic>Statistical analysis</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Tumors</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Shupeng</creatorcontrib><creatorcontrib>Chen, Qinmin</creatorcontrib><creatorcontrib>Liu, Songyang</creatorcontrib><creatorcontrib>Zhang, Wei</creatorcontrib><creatorcontrib>Ji, Bai</creatorcontrib><creatorcontrib>Liu, Yahui</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Shupeng</au><au>Chen, Qinmin</au><au>Liu, Songyang</au><au>Zhang, Wei</au><au>Ji, Bai</au><au>Liu, Yahui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Aberrant Hepatic Artery on Resection Margin and Outcomes of Laparoscopic Pancreatoduodenectomy: A Single-Center Report</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><date>2021-10</date><risdate>2021</risdate><volume>45</volume><issue>10</issue><spage>3183</spage><epage>3190</epage><pages>3183-3190</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background
Variations in the anatomy of the hepatic artery are common. This study was aimed at sharing our experience with identifying and protecting the aberrant hepatic artery (AHA) and discussing its impact on the resection margin and outcomes of laparoscopic pancreatoduodenectomy (LPD).
Methods
A total of 576 patients who underwent LPD between 2015 and 2020 were retrospectively selected and divided into AHA and no AHA groups for this study. The demographics of the patients, pathological features, surgical data, and postoperative complications were further compared and analyzed between the two groups.
Results
The AHA group included 127 patients (22.05%). No statistically significant differences were found between the AHA and no AHA groups in the intraoperative data, postoperative complications, and long-term survival with malignant tumor. There was also no significant difference in the R1 rate for pancreatic adenocarcinoma.
Conclusions
AHA appears frequently; however, it does not change the incidence of perioperative adverse events following LPD or the long-term prognosis of malignant tumor. The preservation of AHA during surgery can be achieved with a well-planned approach and careful dissection.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><doi>10.1007/s00268-021-06231-z</doi><tpages>8</tpages></addata></record> |
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| subjects | Abdominal Surgery Adenocarcinoma Cardiac Surgery Complications Demography General Surgery Hepatic artery Laparoscopy Liver Medical prognosis Medicine Medicine & Public Health Original Scientific Report Pancreatic cancer Pancreaticoduodenectomy Patients Statistical analysis Surgery Thoracic Surgery Tumors Vascular Surgery |
| title | The Impact of Aberrant Hepatic Artery on Resection Margin and Outcomes of Laparoscopic Pancreatoduodenectomy: A Single-Center Report |
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