title: Aberrant hepatic arterial anatomy and the whipple procedure: lessons learned.
abstract: Appreciation and study of hepatic arterial anatomical variability is essential to the performance of a pancreaticoduodenectomy to avoid surgical complications such as bleeding, hepatic ischemia/failure, and anastomotic leak/stricture. Awareness of this variability permits the surgeon to adapt the surgical technique to deal with anomalies identified preoperatively or intraoperatively thereby preventing unnecessary surgical morbidity and mortality. The objective of our study is to provide a comprehensive review of the anatomic arterial anomalies and discuss surgical strategies that will equip the surgeon to deal with all anomalies that may be encountered a priori or en passant during the course of a Whipple procedure.
authors.affiliation: Department of Surgery, Professor of Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Road, Suite #1172, Livingston, NJ 07039, USA. RChamberlain@sbhcs.com
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Chamberlain
authors.forename: Abraham
authors.initials: A
authors.lastname: El-Sedfy
authors.forename: Dhiraj
authors.initials: D
authors.lastname: Rajkumar
mesh_terms: D000792:Angiography / Q000379:methods; D005260:Female; D006499:Hepatic Artery / Q000002:abnormalities* / Q000033:anatomy & histology / Q000601:surgery; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D018570:Risk Assessment; D017751:Safety Management; D014057:Tomography, X-Ray Computed / Q000379:methods; D054079:Vascular Malformations / Q000000981:diagnostic imaging*