Chamberlain Ronald S, El-Sedfy Abraham, Rajkumar Dhiraj
Department of Surgery, Professor of Surgery, Saint Barnabas Medical Center, 94 Old Short Hills Road, Suite #1172, Livingston, NJ 07039, USA.
Am Surg. 2011 May;77(5):517-26.
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.
了解和研究肝动脉解剖变异对于实施胰十二指肠切除术至关重要，以避免手术并发症，如出血、肝缺血/衰竭以及吻合口漏/狭窄。认识到这种变异可使外科医生调整手术技术，以应对术前或术中发现的异常情况，从而预防不必要的手术并发症和死亡率。我们研究的目的是对动脉解剖异常进行全面综述，并讨论手术策略，使外科医生能够应对在惠普尔手术过程中可能预先或偶然遇到的所有异常情况。
