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©2014 Baishideng Publishing Group Co.
World J Gastrointest Surg. Jan 27, 2014; 6(1): 9-13
Published online Jan 27, 2014. doi: 10.4240/wjgs.v6.i1.9
Published online Jan 27, 2014. doi: 10.4240/wjgs.v6.i1.9
Table 1 Patient demography n (%)
Patient characteristics | No arterial anomalyn = 182 | Arterial anomalyn = 43 | P value |
Age | 52.1 ± 10.9 | 52.4 ± 11.2 | NS |
Males/females | 135/53 | 32/11 | NS |
ASA | |||
I | 45 (24.7) | 11 (25.6) | NS |
II | 115 (63.2) | 27 (62.7) | NS |
III/IV | 22 (12.1) | 5 (11.6) | NS |
Table 2 Underlying disease in patients with and without arterial anomaly n (%)
Indication | No arterial anomaly n = 182 | Arterial anomalyn = 43 | P value |
Ampullary adenocarcinoma | 99 (54.4) | 23 (53.5) | NS |
Distal cholangiocarcinoma | 43 (23.6) | 10 (23.2) | NS |
Pancreatic adenocarcinoma | 25 (13.7) | 6 (13.9) | NS |
Duodenal carcinoma | 15 (8.2) | 3 (7.0) | NS |
GIST | 0 | 1 (2.3) | - |
Table 3 Hepatic arterial variations observed during pancreaticoduodenectomy n (%)
Arterial variations | n = 43 |
Replaced RHA from SMA | 31 (72.1) |
Accessory RHA from SMA | 10 (23.2) |
Replaced CHA from SMA | 1 (2.3) |
Accessory RHA from GDA | 1 (2.3) |
Table 4 Intraoperative management of aberrant artery n (%)
Management | n = 43 |
Dissection and preservation | 34 (79) |
Ligation | 8 (18.6) |
Dissection and primary anastomosis | 1 (2.3) |
Table 5 Intraoperative and postoperative comparison in patients with or without arterial anomalies n (%)
Variables | No arterial anomalyn = 182 | Arterial anomalyn = 43 | P value |
Duration of surgery (min) | 420 ± 44 (240-540) | 480 ± 45 (300-600) | < 0.05 |
Blood loss (mL) | 360 ± 52 (200-630) | 390 ± 45 (300-650) | NS |
Postpancreatectomy hemorrhage | 4 (2.1) | 1 (2.3) | NS |
Postpancreatectomy fistula | 9 (4.9) | 2 (4.65) | NS |
Delayed gastric emptying | 98 (53.8) | 23 (53.4) | NS |
Length of hospital stay | 13.6 ± 6.0 | 13.1 ± 5.1 | NS |
Mortality | 3 (1.7) | 1 (2.3) | NS |
Positive margin | 13 (7.1) | 3 (6.9) | NS |
Lymph node yield | 12 ± 4 | 12 ± 5 | NS |
- Citation: Rammohan A, Palaniappan R, Pitchaimuthu A, Rajendran K, Perumal SK, Balaraman K, Ramasamy R, Sathyanesan J, Govindan M. Implications of the presence of an aberrant right hepatic artery in patients undergoing pancreaticoduodenectomy. World J Gastrointest Surg 2014; 6(1): 9-13
- URL: https://www.wjgnet.com/1948-9366/full/v6/i1/9.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v6.i1.9