Injury of the liver artery in duodenopancreatectomy
. 2 case report
DOI:
https://doi.org/10.31837/cir.urug/5.2.8Keywords:
Duodenopancreatectomy, hepatic artery, abscess, ischemiaAbstract
Hepatic artery (HA) lesions during a cephalic duodenopancreatectomy (CDP) cause parenchymal and biliary tree hypoxia, determine necrosis and possible superinfection in a vulnerable liver due to cholestasis, leading to the formation of abscesses and fistulas, increasing the morbidity and mortality of the procedure. We report 2 cases of patients undergoing CDP who presented complications of hepatic ischemic due to accidental lesions of branches of HA.
Downloads
Metrics
References
Lardière-Deguelte S, Ragot E, Amroun K, Piardi T, Dokmak S, Bruno O, et al. Hepatic abscess: diagnosis and management. J Visc Surg. 2015;152(4):231–43. doi: 10.1016/j.jviscsurg.2015.01.013.
Landen, Landen S, Ursaru D, Delugeau V, Landen C. How to deal with hepatic artery injury during pancreaticoduodenectomy. A systematic review. J Visc Surg . 2017;154(4):261–8. doi: 10.1016/j.jviscsurg.2017.05.013.
Kleive D, Sahakyan MA, Khan A, Fosby B, Line PD, Labori KJ. Incidence and management of arterial injuries during pancreatectomy. Langenbeck’s Arch Surg. 2018;403(3):341–8. doi: 10.1007/s00423-018-1666-1
Noussios G, Dimitriou I, Chatzis I, Katsourakis A. The Main Anatomic Variations of the Hepatic Artery and Their Importance in Surgical Practice: Review of the Literature. J Clin Med Res. 2017;9(4):248–52. doi: 10.14740/jocmr2902w
Gaujoux S, Sauvanet A, Vullierme MP, Cortes A, Dokmak S, Sibert A, et al. Ischemic complications after pancreaticoduodenectomy: Incidence, prevention, and management. Ann Surg. 2009;249(1):111–7. doi: 10.1097/SLA.0b013e3181930249
Kim AW, McCarthy WJ, Maxhimer JB, Quiros RM, Hollinger EF, Doolas A, et al. Vascular complications associated with pancreaticoduodenectomy adversely affect clinical outcome. Surgery. 2002;132(4):738–47. doi: 10.1067/msy.2002.127688.
Rubio-Manzanares-Dorado M, Marín-Gómez LM, Aparicio-Sánchez D, Suárez-Artacho G, Bellido C, Álamo JM, et al. Implication of the presence of a variant hepatic artery during the Whipple procedure. Rev Esp Enferm Dig. 2015;107(7):417–22. doi: 10.17235/reed.2015.3701/2015.
Balzan SMP, Gava VG, Pedrotti S, Magalhães MA, Schwengber A, Dotto ML, et al. Prevalence of hepatic arterial variations with implications in pancreatoduodenectomy. Arq Bras Cir Dig. 2019;32(3):1–4. doi: 10.1590/0102-672020190001e1455
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Agustín Pérez Zunino, Joaquín Pereyra Cosco, Juan Delgado Galiana, Ximena Carrera Garese, Hernán Parodi Esteva
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.
