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Vascular Anomalies Encountered During Pancreatoduodenectomy: Do They Influence Outcomes
Annals of Surgical Oncology, 10/20/09
Shukla PJ et al. – The most common abnormalities of the hepatic vasculature include a replaced RHA, replaced LHA, and accessory RHA or LHA. Celiac artery stenosis secondary to median arcuate ligament compression may also be encountered. Every attempt should be made to preserve the aberrant vessel unless their resection is oncologically indicated. Routine preoperative computerized tomography angiography helps to identify the hepatic vascular anatomy and thereby prepares the surgeon to better deal with the vascular anomalies intraoperatively.
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