Injury of the liver artery in duodenopancreatectomy

. 2 case report

Authors

  • Agustín Pérez Zunino Unidad de Cirugía Hepato Bilio Pancreática. Asociación Española. Montevideo, Uruguay
  • Joaquín Pereyra Cosco Unidad de Cirugía Hepato Bilio Pancreática. Asociación Española. Montevideo, Uruguay
  • Juan Delgado Galiana Unidad de Cirugía Hepato Bilio Pancreática. Asociación Española. Montevideo, Uruguay
  • Ximena Carrera Garese Unidad de Cirugía Hepato Bilio Pancreática. Asociación Española. Montevideo, Uruguay
  • Hernán Parodi Esteva Unidad de Cirugía Hepato Bilio Pancreática. Asociación Española. Montevideo, Uruguay

DOI:

https://doi.org/10.31837/cir.urug/5.2.8

Keywords:

Duodenopancreatectomy, hepatic artery, abscess, ischemia

Abstract

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

Download data is not yet available.

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

2021-05-22

How to Cite

1.
Pérez Zunino A, Pereyra Cosco J, Delgado Galiana J, Carrera Garese X, Parodi Esteva H. Injury of the liver artery in duodenopancreatectomy: . 2 case report. Cir. Urug. [Internet]. 2021 May 22 [cited 2026 Mar. 28];5(2):1-5. Available from: https://replica-revista.scu.org.uy/index.php/cir_urug/article/view/4645

Issue

Section

Clinical cases

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.