Operative injury to the hepatic artery. Consequences of a biliary-enteric anastomosis and principles for rational management

Archives of Surgery
P E MajnoP Morel

Abstract

Although the interruption of the hepatic arterial flow usually is well tolerated, this is not always the case, and it is important to predict in which circumstances complications are likely to occur. The main determinants that should guide the surgeon confronted with this problem are (1) whether the portal circulation is normal, (2) whether structures carrying collateral blood supply have been interrupted, and (3) whether some form of biliary reconstruction is needed. We present our experience with three patients in whom the hepatic artery was damaged at operation as examples of how this injury can be dealt with in practice and discuss the measures to prevent or treat the complications that developed.

Citations

Apr 24, 2009·Journal of Hepato-biliary-pancreatic Surgery·Satoshi HiranoKentaro Kato
Dec 25, 2008·Annals of Surgery·Sébastien GaujouxJacques Belghiti
Nov 1, 2018·Future Oncology·Marcello DonatiKarl J Oldhafer
Mar 23, 2018·Langenbeck's Archives of Surgery·Dyre KleiveKnut Jørgen Labori
Mar 12, 2002·Therapeutic Apheresis : Official Journal of the International Society for Apheresis and the Japanese Society for Apheresis·Yoshihiro AsanumaKenji Koyama
Oct 26, 2006·Surgical Endoscopy·E de SantibañesJ Pekolj
Sep 25, 2001·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A ChaudharyA K Sachdev
Sep 6, 2017·Clinical Transplantation·Manuela CesarettiAlban Zarzavadjian Le Bian
Apr 13, 2017·World Journal of Surgical Oncology·Michihiro YamamotoJunya Kawasoe
Sep 14, 2011·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Robert M CannonJoseph F Buell
Feb 23, 2021·Journal of Gastrointestinal Cancer·Ashish SwamiShilpi Gupta Dixit

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