Eleven Cases of Postoperative Hepatic Infarction Following Pancreato-Biliary Surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-11-24

AUTHORS

Fumihiko Miura, Takehide Asano, Hodaka Amano, Masahiro Yoshida, Naoyuki Toyota, Keita Wada, Kenichoro Kato, Koichi Hayano, Susumu Kadowaki, Makoto Shibuya, Sawako Maeno, Tadahiro Takada, Tomoaki Eguchi

ABSTRACT

BackgroundPostoperative hepatic infarction is rare; therefore, clinical characteristics and outcomes of postoperative hepatic infarction after pancreatobiliary surgery have not been obvious.MethodsEleven patients encountered hepatic infarction after pancreato-biliary surgery. Management, clinical course, and outcome of these 11 patients were retrospectively analyzed.ResultsPossible causes of the hepatic infarction were inadvertent injury of the hepatic artery during lymph node dissection in five patients, right hepatic artery ligation in two patients, long-term clamp of the hepatic artery during hepatic arterial reconstruction in two patients, suturing for bleeding from the right hepatic artery in one patient, and celiac axis compression syndrome in one patient. Five of the 17 infarcts extended for one whole section of the liver, and distribution of the other 12 was less than one section. Ten patients discharged from hospital; however, one patient died of sepsis of unknown origin.ConclusionsAttention should be paid to inadvertent injury of hepatic artery to prevent hepatic infarction. Hepatic infarctions after pancreato-biliary surgery seldom extend to the entire liver and most of them are able to be treated without intervention. More... »

PAGES

352-358

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-009-1089-y

DOI

http://dx.doi.org/10.1007/s11605-009-1089-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1005255098

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19937194


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36 schema:keywords BackgroundPostoperative hepatic infarction
37 ConclusionsAttention
38 MethodsEleven patients
39 ResultsPossible causes
40 arterial reconstruction
41 artery
42 artery ligation
43 axis compression syndrome
44 cases
45 cause
46 celiac axis compression syndrome
47 characteristics
48 clamp
49 clinical characteristics
50 clinical course
51 compression syndrome
52 course
53 dissection
54 distribution
55 entire liver
56 hepatic arterial reconstruction
57 hepatic artery
58 hepatic artery ligation
59 hepatic infarction
60 hospital
61 inadvertent injury
62 infarction
63 infarcts
64 injury
65 intervention
66 ligation
67 liver
68 long-term clamp
69 lymph node dissection
70 management
71 node dissection
72 origin
73 outcomes
74 pancreato-biliary surgery
75 pancreatobiliary surgery
76 patients
77 postoperative hepatic infarction
78 reconstruction
79 right hepatic artery
80 right hepatic artery ligation
81 sections
82 sepsis
83 surgery
84 syndrome
85 unknown origin
86 whole section
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