Academic Journal
Anomalies of the right hepatic artery in periampullary cancer treatment: are pathological and clinical outcomes different? A single tertiary referral center retrospective analysis
| العنوان: | Anomalies of the right hepatic artery in periampullary cancer treatment: are pathological and clinical outcomes different? A single tertiary referral center retrospective analysis |
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| المؤلفون: | Lucinato, Chiara, Panza, Edoardo, Quero, Giuseppe, Laterza, Vito, Schena, Carlo Alberto, Fiorillo, Claudio, Taglioni, Flavia, Menghi, Roberta, Longo, Fabio, Rosa, Fausto, Tortorelli, Antonio Pio, Tondolo, Vincenzo, Alfieri, Sergio |
| المساهمون: | De Sio, Davide, Lucinato, Chiara, Panza, Edoardo, Quero, Giuseppe, Laterza, Vito, Schena, Carlo Alberto, Fiorillo, Claudio, Taglioni, Flavia, Menghi, Roberta, Longo, Fabio, Rosa, Fausto, Tortorelli, Antonio Pio, Tondolo, Vincenzo, Alfieri, Sergio |
| سنة النشر: | 2024 |
| المجموعة: | Università Cattolica del Sacro Cuore: PubliCatt |
| مصطلحات موضوعية: | periampullary cancer, Settore MED/18 - CHIRURGIA GENERALE |
| الوصف: | Purpose: Anomalies of the right hepatic artery (RHA) may represent an additional challenge in pancreatoduodenectomy (PD). The aim of this study is to assess the potential impact of variations in hepatic arterial anatomy on perioperative outcomes. Methods: PDs performed for periampullary malignancies between 2017 and 2022 were retrospectively enrolled and subdivided in two groups: modal pattern of vascularization (MPV) and anomalous pattern of vascularization (APV). A propensity score matching (PSM) analysis was conducted to homogenize the two study populations. The two groups were then compared in terms of perioperative outcomes and pathological findings. Results: Thirty-eight patients (16.3%) out of 232 presented a vascular anomaly: an accessory RHA in 7 cases (3%), a replaced RHA in 26 cases (11.2%), and a replaced HA in 5 cases (2.1%). After PSM, 76 MPV patients were compared to the 38 APV patients. The incidence rate of postoperative complications was comparable between the two study populations (p=0.2). Similarly, no difference was detected in terms of histopathological data, including margin status. No difference was noted in terms of intraoperative hemorrhage and vascular resection. Conclusion: When PDs are performed in high-volume centers, the presence of an APV of the RHA does not relate to a significant impact on perioperative complications. Moreover, no influence was noted on histopathological findings. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/38393349; info:eu-repo/semantics/altIdentifier/wos/WOS:001172655400003; volume:409; issue:1; firstpage:N/A; lastpage:N/A; issueyear:2024; journal:LANGENBECK'S ARCHIVES OF SURGERY; https://hdl.handle.net/10807/264174; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85185673576 |
| DOI: | 10.1007/s00423-024-03263-6 |
| الاتاحة: | https://hdl.handle.net/10807/264174 https://doi.org/10.1007/s00423-024-03263-6 |
| رقم الانضمام: | edsbas.72563174 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s00423-024-03263-6 |
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