Early ligation of the inferior pancreaticoduodenal artery to reduce blood loss during pancreaticoduodenectomy.
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.
Ohigashi
Hiroaki
H
Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan. oohigasi-hi@mc.pref.osaka.jp
Ishikawa
Osamu
O
Eguchi
Hidetoshi
H
Yamada
Terumasa
T
Sasaki
Yo
Y
Noura
Shingo
S
Takachi
Kou
K
Miyashiro
Isao
I
Murata
Kohei
K
Doki
Yuichiro
Y
Imaoka
Shingi
S
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*