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Replaced right hepatic artery arising from the gastroduodenal artery: a rare and challenging anatomical variant of the Whipple procedure.
Journal article

Replaced right hepatic artery arising from the gastroduodenal artery: a rare and challenging anatomical variant of the Whipple procedure.

  • Pueyo-Périz EM Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, University Hospital del mar, Barcelona, Spain.
  • Sánchez-Velázquez P Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, University Hospital del mar, Barcelona, Spain.
  • De Miguel M Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, University Hospital del mar, Barcelona, Spain.
  • Radosevic A Department of Radiology, University Hospital del mar, Barcelona, Spain.
  • Petrowsky H Department of Surgery and Transplantation, Swiss HPB and Transplantation Center Zurich, University Hospital Zurich, Zurich, Switzerland.
  • Burdío F Department of Surgery, Division of Hepato-Biliary and Pancreatic Surgery, University Hospital del mar, Barcelona, Spain.
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  • 2020-06-26
Published in:
  • Journal of surgical case reports. - 2020
English Accurate assessment of the vascular anatomy is a prerequisite of any pancreatic resection, since an unnoticed arterial injury in the context of a complex resection such as Whipple procedure, can seriously jeopardize patient's safety. This article aims to describe an infrequent anatomic variant of a replaced right hepatic artery originating directly from the gastroduodenal artery and its potential implications for duodenopancreatectomy, as the gastroduodenal artery is routinely divided. We present here two different cases of this arterial abnormality identified during a Whipple procedure and its implications in each different setting. Preoperative identification of anatomical variations is essential for proficient surgical planning. Nevertheless, when detected during surgery, an meticulous dissection of the hepatoduodenal ligament is required to identify all the vascular relations in order to avoid irreversible damage.
Language
  • English
Open access status
gold
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Persistent URL
https://sonar.ch/global/documents/218480
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