Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
Journal website https://www.jocmr.org |
Original Article
Volume 13, Number 3, March 2021, pages 158-163
Impact of Vascular Anomalies on Pancreatoduodenectomy Procedure
Tables
Anatomical variant group | Control group | |
---|---|---|
PDAC: pancreatic ductal adenocarcinoma; CC: cholangiocarcinoma; IgG4: immunoglobulin G4; SPPT: solid pseudopapillary tumor; NET: neuroendocrine tumor; IPMN: intraductal papillary mucinous neoplasm; GIST: gastrointestinal stromal tumor; BMI: body mass index. | ||
Number of patients | 41 | 41 |
Gender | ||
Male | 20 | 22 |
Female | 21 | 19 |
Average age (years) | 64 | 65 |
Primary pathology | ||
PDAC | 23 | 22 |
Ampullary adenocarcinoma | 8 | 7 |
CC | 2 | 1 |
IgG4 pancreatitis | 2 | 0 |
Duodenal villous adenoma | 2 | 2 |
SPPT | 1 | 0 |
Choledochal cyst | 0 | 2 |
NET | 1 | 2 |
IPMN | 2 | 4 |
Duodenal GIST | 0 | 1 |
Anticoagulant therapy | 3 | 1 |
Antiplatelets therapy | 13 | 13 |
Previous abdominal surgery | 5 | 6 |
Average BMI | 27.4 | 28.2 |
Anatomical vascular variant | Origin | Number of patients |
---|---|---|
Replaced right hepatic artery | Superior mesenteric artery | 29 |
Gastroduodenal artery | 4 | |
Celiac artery | 1 | |
Replaced left hepatic artery | Left gastric artery | 8 |
Replaced gastroduodenal artery | Celiac artery | 2 |
Superior mesenteric artery | 1 | |
Accessory hepatic artery | Superior mesenteric artery | 3 |
Replaced gastroepiploic artery | Celiac artery | 2 |
Replaced middle colic artery | Gastroduodenal artery | 2 |
Anatomical variant group (n = 41) | Control group (n = 41) | P value | |
---|---|---|---|
N/A: not applicable. | |||
Intraoperative bleeding | 6 | 0 | 0.026 |
Bilio-enteric leak | 0 | 0 | N/A |
Post-pancreatectomy hemorrhage | 4 | 3 | 1 |
Postoperative pancreatic fistula | 8 | 12 | 0.441 |
Delayed gastric emptying | 6 | 7 | 0.773 |
Intra-abdominal abscess | 3 | 5 | 0.712 |
Superficial surgical site infection | 1 | 0 | 0.5 |
Re-operation in 30 days | 0 | 0 | N/A |
Mortality in 30 days | 1 | 0 | 0.5 |