Destruction of a wandering accessory right hepatic artery in a patient with pancreatic body cancer: a case report View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-01-04

AUTHORS

Kenta Kikuya, Takahiro Einama, Yoichi Miyata, Toshimitsu Iwasaki, Yoji Yamagishi, Yasuhiro Takihata, Fumio Morimura, Hiromi Edo, Yasuhiro Otsuka, Shohei Mori, Takazumi Tsunenari, Ibuki Fujinuma, Yuichi Hirose, Hironori Tsujimoto, Hideki Ueno, Yoji Kishi

ABSTRACT

Aberrant right hepatic arteries are sometimes involved in pancreatic head tumors or accidentally damaged during surgical procedures, which could result in postoperative complications. The risk of such injury has been discussed in patients undergoing pancreatoduodenectomy; however, no reports describe the influence of this anomaly in distal pancreatectomy. We report a patient with pancreatic body cancer with an accessory right hepatic artery following a very unique route. A 77-year-old man was referred to our hospital for the treatment of pancreatic cancer. Computed tomography revealed an anomaly in the hepatic artery, with an accessory right hepatic artery encased in the extensive tumor, which also involved the stomach, left gastric artery, and portal vein. Curative resection was achieved by distal pancreatectomy with wedge resection of the stomach and portal vein reconstruction. Both the accessory right hepatic artery and the left gastric artery were sacrificed after confirming intrahepatic arterial flow by intraoperative Doppler ultrasonography. The route of the accessory right hepatic artery in this patient was unique in that it did not run directly into the hepatic hilum but from behind the pancreatic body, where it was incorporated into the tumor. Accurate preoperative assessment and identification of arterial variations is mandatory in any type of pancreatectomy. More... »

PAGES

560-565

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s12328-020-01304-3

    DOI

    http://dx.doi.org/10.1007/s12328-020-01304-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1134297543

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/33394330


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