Table 2.
Surgical outcomes of pancreaticoduodenectomy in patients with and without aberrant hepatic artery (> 50 cases)
|
Ref.
|
Total, n
|
AHA, n
|
Morbidity, n (%)
|
POPF, n (%)
|
PPH, n (%)
|
DGE, n (%)
|
Reoperation, n (%)
|
Mortality, n (%)
|
||||||
|
AHA
|
n-AHA
|
AHA
|
n-AHA
|
AHA
|
n-AHA
|
AHA
|
n-AHA
|
AHA
|
n-AHA
|
AHA
|
n-AHA
|
|||
| OPD | ||||||||||||||
| Rammohan et al[17] | 225 | 43 | 26 (60.5) | 111 (61.0) | 2 (4.7) | 9 (4.9) | 1 (2.3) | 4 (2.1) | 23 (53.4) | 98 (53.8) | NA | NA | 1 (2.3) | 3 (1.7) |
| Kim et al[26] | 249 | 371 | 92 (24.3) | 882 (41.5) | 1 (2.7) | 12 (5.6) | 1 (2.7) | 16 (7.6) | 4 (10.8) | 16 (7.6) | NA | NA | 0 | 1 (0.5) |
| Sulpice3 et al[30] | 84 | 291 | 14 (48.3) | 32 (58.2) | 3 (10.3) | 9 (16.4) | 4 (13.8) | 9 (16.4) | 10 (34.5) | 24 (43.6) | NA | NA | 3 (10.3) | 3 (5.5) |
| Eshuis et al[53] | 758 | 143 | 80 (55.9) | 303 (49.3) | 18 (12.6) | 87 (14.1) | 11 (7.7) | 44 (7.2) | 48 (33.6) | 193 (31.4) | 10 (7.0) | 68 (11.0) | 2 (1.4) | 13 (2.1) |
| Mansour3 et al[5] | 82 | 41 | 22 (53.7) | 27 (65.9) | 8 (19.5) | 12 (29.3) | 4 (9.8) | 3 (7.3) | 6 (14.6) | 7 (17.1) | 0 | 0 | 1 (2.4) | 0 |
| Crocetti et al[34] | 297 | 441 | 32 (72.7) | 185 (73.1) | 5 (11.3) | 27 (10.7) | 2 (4.5) | 12 (4.7) | 5 (11.4) | 37 (14.6) | 3 (6.8) | 28 (11.7) | 7 (15.9) | 33 (13.0) |
| Alexakis3 et al[4] | 105 | 35 | 4 (11.4) | 19 (27.1) | 2 (5.7) | 9 (12.9) | 0 | 2 (2.9) | 1 (2.9) | 1 (1.4) | 1 (2.9) | 5 (7.1) | 2 (5.7) | 4 (5.7) |
| LPD | ||||||||||||||
| Wang et al[7] | 576 | 127 | NA | NA | 21 (16.5) | 68 (15.1) | 11 (9.0) | 37 (8.2) | 3 (2.5) | 9 (2.0) | 4 (3.1) | 24 (5.3) | 4 (3.1) | 12 (2.7) |
| Giani et al[25] | 72 | 141 | 5 (35.7) | 34 (58.6) | 2 (14.3) | 10 (17.2) | 2 (14.3) | 10 (17.2) | 2 (14.3) | 14 (24.1) | NA | NA | 0 | 4 (6.9) |
| Zhang et al[3] | 218 | 54 | 22 (40.7) | 70 (42.7) | 5 (2.3) | 21 (9.6) | 5 (2.3) | 15 (6.9) | NA | NA | NA | NA | 3 (3.7) | 7 (4.3) |
| RPD | ||||||||||||||
| Nguyen et al[31] | 142 | 30 | 19 (63.3) | 74 (66.0) | 4 (13.3) | 9 (8.1) | NA | NA | 3 (10.0) | 26 (23.2) | NA | NA | 2 (6.7) | 3 (2.7) |
| Kim et al[33] | 73 | 151 | 5 (33.3) | 29 (50.0) | 2 (13.3) | 5 (8.6) | 1 (6.7) | 5 (8.6) | NA | NA | 2 (13.3) | 4 (6.9) | 0 | 2 (3.4) |
1
AHA in these studies included only right hepatic artery variants.
2
The P value for this comparison was 0.04, while all others were > 0.05.
3
These studies provided matched analysis.
AHA: Aberrant hepatic artery; DGE: Delayed gastric emptying; LPD: Laparoscopic pancreaticoduodenectomy; n-AHA: Non-aberrant hepatic artery; NA: Not available; OPD: Open pancreaticoduodenectomy; POPF: Postoperative pancreatic fistula; PPH: Post-pancreatectomy hemorrhage; RPD: Robotic pancreaticoduodenectomy.