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Review
. 2021 Jun;52(2):462-470.
doi: 10.1007/s12029-021-00598-x. Epub 2021 Feb 22.

Hepatic Arterial Variations and Its Implication During Pancreatic Cancer Surgeries

Ashish Swami  1 , Taruna Yadav  2 , Vaibhav Kumar Varshney  3 , Kelu S Sreesanth  1 , Shilpi Gupta Dixit  4
Affiliations
Review

Hepatic Arterial Variations and Its Implication During Pancreatic Cancer Surgeries

Ashish Swami et al. J Gastrointest Cancer. 2021 Jun.

Abstract

Purpose: Aberrant hepatic artery anatomy is a considerable challenge during pancreatic surgery as it warrants extreme caution for the preservation of vascular supply as well as achievement of R0 resection margin.

Method: We reviewed the literature about the aberrant anatomical variations of the hepatic artery and its relevance during pancreatoduodenectomy and distal pancreatectomy.

Result: Preoperative deliberation of peri-pancreatic vascular anatomy using advanced imaging methods is crucial for surgeons. At the same time, intra-operative suspicion and early identification of aberrant anatomy may help to prevent vascular injury and related complications. Yet, vascular reconstruction may be needed in many situations; several techniques like pre-operative embolization provide new options for management in specific situations.

Conclusion: We have provided here an overview of the anatomical variants of the hepatic artery and their implication during pancreatoduodenectomy and distal pancreatectomy.

Keywords: Aberrant; Anomalous; Distal pancreatectomy; Hepatic artery; Pancreatoduodenectomy.

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