Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico

Anatomic variations of the hepatic artery, which occur in 30 to 50% of patients, are a very important factor to be considered for Whipple procedure. The most common variations are those coming from the superior mesenteric artery, left gastric artery and the aorta. We report a 58-year-old woman with...

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Autores principales: Ávila S,Rubén, Stelt A,Guillermo Vander, Navia T,Alfonso, Altamirano M,Alejandro, Guerra C,Juan Fco, Martínez C,Jorge, Jarufe C,Nicolás
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500017
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spelling oai:scielo:S0034-988720150005000172018-10-31Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínicoÁvila S,RubénStelt A,Guillermo VanderNavia T,AlfonsoAltamirano M,AlejandroGuerra C,Juan FcoMartínez C,JorgeJarufe C,Nicolás Anatomic variation Hepatic artery Pancreatoduodenectomy Surgical procedures, operative Anatomic variations of the hepatic artery, which occur in 30 to 50% of patients, are a very important factor to be considered for Whipple procedure. The most common variations are those coming from the superior mesenteric artery, left gastric artery and the aorta. We report a 58-year-old woman with a story of one month of epigastric pain, jaundice and progressive itching. Magnetic resonance imaging showed a mass in the head of the pancreas. During pancreatoduodenectomy a left hepatic artery (LHA) emerging from the gastroduodenal artery and an accessory LHA emerging from the left gastric artery, were observed. The rest of the surgery was performed with no incidents. The patient had an uneventful postoperative evolution.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.5 20152015-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500017es10.4067/S0034-98872015000500017
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anatomic variation
Hepatic artery
Pancreatoduodenectomy
Surgical procedures, operative
spellingShingle Anatomic variation
Hepatic artery
Pancreatoduodenectomy
Surgical procedures, operative
Ávila S,Rubén
Stelt A,Guillermo Vander
Navia T,Alfonso
Altamirano M,Alejandro
Guerra C,Juan Fco
Martínez C,Jorge
Jarufe C,Nicolás
Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
description Anatomic variations of the hepatic artery, which occur in 30 to 50% of patients, are a very important factor to be considered for Whipple procedure. The most common variations are those coming from the superior mesenteric artery, left gastric artery and the aorta. We report a 58-year-old woman with a story of one month of epigastric pain, jaundice and progressive itching. Magnetic resonance imaging showed a mass in the head of the pancreas. During pancreatoduodenectomy a left hepatic artery (LHA) emerging from the gastroduodenal artery and an accessory LHA emerging from the left gastric artery, were observed. The rest of the surgery was performed with no incidents. The patient had an uneventful postoperative evolution.
author Ávila S,Rubén
Stelt A,Guillermo Vander
Navia T,Alfonso
Altamirano M,Alejandro
Guerra C,Juan Fco
Martínez C,Jorge
Jarufe C,Nicolás
author_facet Ávila S,Rubén
Stelt A,Guillermo Vander
Navia T,Alfonso
Altamirano M,Alejandro
Guerra C,Juan Fco
Martínez C,Jorge
Jarufe C,Nicolás
author_sort Ávila S,Rubén
title Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
title_short Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
title_full Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
title_fullStr Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
title_full_unstemmed Arteria hepática izquierda de arteria gastroduodenal: Un desafío técnico durante cirugía de Whipple. Caso clínico
title_sort arteria hepática izquierda de arteria gastroduodenal: un desafío técnico durante cirugía de whipple. caso clínico
publisher Sociedad Médica de Santiago
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000500017
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