| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2026-02-10 |
| タイトル |
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タイトル |
Robotic pancreaticoduodenectomy in patients with hepatic arterial variants: surgical outcomes and technical considerations in a single-center cohort |
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言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Anatomical anomaly |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
Hepatic arterial variants |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Pancreaticoduodenectomy |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Replaced right hepatic artery |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
Robotic |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
Imamura, Hajime
Adachi, Tomohiko
Hamada, Takashi
Migita, Kazushige
Satoh, Ayaka
Kurotaki, Kouki
Nakamura, Shun
Ogawa, Shinichiro
Askeyev, Baglan
Matsushima, Hajime
Kinoshita, Ayaka
Soyama, Akihiko
Eguchi, Susumu
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Purpose: Hepatic arterial anomalies are commonly encountered during pancreaticoduodenectomy. However, their impact on perioperative outcomes in robotic pancreaticoduodenectomy (RPD) remains unclear. Methods: We retrospectively analyzed 79 consecutive patients who underwent RPD. Hepatic arterial anatomy was classified according to the systems of Michels and Hiatt. Perioperative outcomes were compared between patients with hepatic arterial variants and those with normal anatomy. Results: Hepatic arterial anomalies were identified in 22 patients (27.8%). According to Hiatt’s classification, 57 patients (72.2%) had normal type I anatomy, while type II and III variants were observed in 4 (5.1%) and 9 (11.4%) patients, respectively. Two patients exhibited type IV variants with both replaced right and left hepatic arteries. Data are presented in the order of absence and presence of arterial anomalies. Median age was similar (72 vs. 73 years, P = 0.86), with no difference in sex distribution (P = 0.25). Operative time (549 vs. 586 min, P = 0.92), blood loss (73 vs. 50 mL, P = 0.49), rates of clinically relevant postoperative pancreatic fistula (5.3% vs. 4.5%, P = 0.69), postoperative bleeding(0% vs. 4.5%, P = 0.27), pseudoaneurysm hemorrhage (5.3% vs. 0%, P = 0.55), and major complications (Clavien–Dindo grade ≥ 3a) (8.8% vs. 9.0%, P = 0.63) did not differ significantly. Conclusion: The presence of hepatic arterial anomalies did not adversely affect perioperative outcomes in patients undergoing RPD. These findings suggest that, with appropriate preoperative planning and meticulous surgical technique, RPD can be performed safely in selected patients with hepatic arterial variants at experienced centers. |
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言語 |
en |
| 書誌情報 |
en : Langenbeck's Archives of Surgery
巻 411,
号 1,
p. art. no. 67,
発行日 2026-01-16
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| 出版者 |
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出版者 |
Springer Nature |
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言語 |
en |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
1435-2451 |
| DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1007/s00423-026-03965-z |
| 権利 |
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|
権利情報 |
This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
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言語 |
en |
| 著者版フラグ |
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出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 引用 |
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内容記述タイプ |
Other |
|
内容記述 |
Langenbeck's Archives of Surgery, 411(1), art. no. 67; 2026 |
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言語 |
en |
LAS411_67.pdf (1.2 MB)
