Collaterals management during pancreatoduodenectomy in patients with celiac axis stenosis: A systematic review of the literature.

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
Francesco GiovanardiPasquale B Berloco

Abstract

Celiac axis stenosis (CAS) represents an uncommon and typically innocuous condition. However, when a pancreatic resection is required, a high risk for upper abdominal organs ischemia is observed. In presence of collaterals, such a risk is minimized if their preservation is realized. The aim of the present study is to systematically review the literature with the intent to address the routine management of collateral arteries in the case of CAS patients requiring pancreatoduodenectomy. A systematic search was done in accordance with the PRISMA guidelines, using "celiac axis stenosis" AND "pancreatoduodenectomy" as MeSH terms. Seventy-four articles were initially screened: eventually, 30 articles were identified (n = 87). The main cause of CAS was median arcuate ligament (MAL) (n = 31; 35.6%), followed by atherosclerosis (n = 20; 23.0%). CAS was occasionally discovered during the Whipple procedure in 15 (17.2%) cases. Typically, MAL was divided during surgery (n = 24/31; 77.4%). In the great majority of cases (n = 83; 95.4%), vascular abnormalities involved the pancreatoduodenal arteries (i.e., dilatation, arcade, channels, aneurysms). Collateral arteries were typically preserved, being divided or reconstructed in only 14 (16.1%)...Continue Reading

Citations

Mar 9, 2021·Plastic and Reconstructive Surgery. Global Open·Hiroyuki TakasuYutaka Shimomura
Feb 4, 2021·Journal of Hepato-biliary-pancreatic Sciences·Kohei NakataUNKNOWN Study Group of Precision Anatomy for Minimally Invasive Hepato-Biliary-Pancreatic surgery (PAM-HBP Surgery)
Nov 17, 2020·Journal of Visceral Surgery·J DembinskiJ-M Regimbeau

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.