Reconstruction of the replaced right hepatic artery at the time of pancreaticoduodenectomy

John D. Allendorf, Sarah Bellemare

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: The arterial anatomy supplying the liver is highly variable. One of the most common variants is a completely replaced right hepatic artery which is seen in about 11% of the population. Interruption of arterial flow to the right hepatic artery at the time of pancreaticoduodenectomy has been associated with biliary fistula and the consequent complications, as well as stenosis of the biliary enteric anastomosis. Malignancies of the posterior aspect of the head of the pancreas can encase a replaced right hepatic artery without involvement of other vascular structures. In this situation, it is possible to resect and reconstruct the replaced right hepatic artery to maintain oxygen delivery to the biliary enteric anastomosis. Summary: Herein we describe a technique to reconstruct a replaced right hepatic artery following resection of the vessel en bloc with the tumor during a pancreaticoduodenectomy, using inflow from the gastroduodenal artery.

Original languageEnglish (US)
Pages (from-to)555-557
Number of pages3
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number3
DOIs
StatePublished - Mar 2009

Fingerprint

Pancreaticoduodenectomy
Hepatic Artery
Biliary Fistula
Blood Vessels
Pancreas
Neoplasms
Anatomy
Pathologic Constriction
Arteries
Oxygen
Liver
Population

Keywords

  • Pancreaticoduodenectomy
  • Replaced
  • Right hepatic artery
  • Surgery
  • Vascular reconstruction
  • Whipple

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Reconstruction of the replaced right hepatic artery at the time of pancreaticoduodenectomy. / Allendorf, John D.; Bellemare, Sarah.

In: Journal of Gastrointestinal Surgery, Vol. 13, No. 3, 03.2009, p. 555-557.

Research output: Contribution to journalArticle

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