Preserving a rare type of variant right hepatic artery combines surgical radicality and intact liver perfusion during pancreatectomy
- An anomalous anatomy of the celiac trunk, and particularly of the right hepatic artery, may have a significant impact on major hepatobiliary and pancreatic surgery. According to some authors, every third patient has an aberrant right hepatic artery. We present a very rare case of replaced right hepatic artery (RRHA) arising from the gastroduodenal artery associated with an accessory left hepatic artery originating from the left gastric artery in a 54-year-old woman with a pancreatic head carcinoma. The patient underwent total pancreatectomy on account of a soft lipomatous pancreas with heterogeneous changes of the pancreatic body and tail. We preserved the RRHA and achieved R0 resection margins. Preoperative evaluation of CT angiograms, an awareness of any anomalous arterial anatomy of the upper abdomen, and a meticulous surgical technique are the key to performing oncologically radical surgery without threatening the arterial liver supply.
| Author: | Ilgar AghalarovGND, Theodor LutzGND, Waldemar UhlORCiDGND, Orlin BelyaevORCiDGND |
|---|---|
| URN: | urn:nbn:de:hbz:294-93437 |
| DOI: | https://doi.org/10.1159/000510484 |
| Parent Title (English): | Visceral medicine |
| Publisher: | Karger |
| Place of publication: | Basel |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2022/10/14 |
| Date of first Publication: | 2020/10/08 |
| Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
| Tag: | Hepatic artery; Michels’ classification; Pancreatectomy; Pancreatic cancer; Variant anatomy |
| Volume: | 37 |
| Issue: | 3 |
| First Page: | 219 |
| Last Page: | 221 |
| Note: | Dieser Beitrag ist aufgrund einer nationalen Lizenz frei zugänglich. |
| Institutes/Facilities: | St. Josef-Hospital Bochum, Klinik für Allgemein- und Viszeralchirurgie |
| St. Josef-Hospital Bochum, Abteilung für Radiologie und Nuklearmedizin | |
| Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
| open_access (DINI-Set): | open_access |
| Licence (German): |  Nationale Lizenz |
