title: Early ligation of the inferior pancreaticoduodenal artery to reduce blood loss during pancreaticoduodenectomy.
abstract: When performing a pancreaticoduodenectomy, a considerable amount of congested blood is lost, especially during the period when the pancreatic head area is being isolated from the superior mesenteric vessels. Following Kocher's maneuver, a 4-cm dissection was continued along the right margin of the superior mesenteric artery. The root of the inferior pancreaticoduodenal artery was disclosed and ligated prior to the following resection procedures. The early ligation of the inferior pangreaticoduodenal artery decreased blood loss (from 194+/-24 mL to 86+/-50 mL) during the period when the pancreatic head area was isolated from the superior mesenteric vessels. This approach was feasible in reducing blood loss presumably related to blood congestion.
authors.affiliation: Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan. oohigasi-hi@mc.pref.osaka.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ohigashi
authors.forename: Osamu
authors.initials: O
authors.lastname: Ishikawa
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Eguchi
authors.forename: Terumasa
authors.initials: T
authors.lastname: Yamada
authors.forename: Yo
authors.initials: Y
authors.lastname: Sasaki
authors.forename: Shingo
authors.initials: S
authors.lastname: Noura
authors.forename: Kou
authors.initials: K
authors.lastname: Takachi
authors.forename: Isao
authors.initials: I
authors.lastname: Miyashiro
authors.forename: Kohei
authors.initials: K
authors.lastname: Murata
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Doki
authors.forename: Shingi
authors.initials: S
authors.lastname: Imaoka
mesh_terms: D000368:Aged; D001158:Arteries / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D010179:Pancreas / Q000098:blood supply*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*