| 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 |