Universität zu Köln

Ang, Rene Ronson G., Lee, Hyuk-Joon, Bae, Jae Seok ORCID: 0000-0003-2768-7917, Zhu, Chun-Chao, Berlth, Felix, Kim, Tae Han, Park, Shin-Hoo, Suh, Yun-Suhk, Kong, Seong-Ho, Kim, Se Hyung and Yang, Han-Kwang (2020). Safety of Ligation of Aberrant Left Hepatic Artery Originating from Left Gastric Artery in Laparoscopic Gastrectomy for Gastric Cancer. Sci Rep, 10 (1). LONDON: NATURE PUBLISHING GROUP. ISSN 2045-2322

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Abstract

There are still lot of controversies whether aberrant left hepatic artery (ALHA) originating from left gastric artery should be ligated or preserved during gastric cancer (GC) surgery. We aimed to investigate this issue. We reviewed ALHA cases who had laparoscopic gastrectomy for gastric cancer at Seoul National University Hospital (SNUH) from 2012 to 2016. Type of ALHA variants using Michel's classification of hepatic arterial anatomy and diameter of each vessel were evaluated by 2 radiologists. Postoperative hepatic function and surgical outcome were collected until 6 months after surgery. Results showed that if the diameter of ALHA was larger than 1.5 mm, a transient elevation of SGOT and SGPT on postoperative day 2 was observed in the ligated cases. No differences were observed in operation time, amount of blood loss, overall complication rate, hospital stay, and number of lymph nodes retrieved between the ligated and preserved replaced left hepatic artery (RLHA) and accessory left hepatic artery (acLHA) group. In this study, we conclude that ligation of ALHA seems to be safe as none of the patients suffered adverse outcome. A transient rise in postoperative SGOT and SGPT levels were seen after ligating ALHA >1.5 mm in diameter regardless of subtype.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ang, Rene Ronson G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lee, Hyuk-Joon UNSPECIFIED UNSPECIFIED UNSPECIFIED Bae, Jae Seok UNSPECIFIED orcid.org/0000-0003-2768-7917 UNSPECIFIED Zhu, Chun-Chao UNSPECIFIED UNSPECIFIED UNSPECIFIED Berlth, Felix UNSPECIFIED UNSPECIFIED UNSPECIFIED Kim, Tae Han UNSPECIFIED UNSPECIFIED UNSPECIFIED Park, Shin-Hoo UNSPECIFIED UNSPECIFIED UNSPECIFIED Suh, Yun-Suhk UNSPECIFIED UNSPECIFIED UNSPECIFIED Kong, Seong-Ho UNSPECIFIED UNSPECIFIED UNSPECIFIED Kim, Se Hyung UNSPECIFIED UNSPECIFIED UNSPECIFIED Yang, Han-Kwang UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-337616
DOI:	10.1038/s41598-020-62587-7
Journal or Publication Title:	Sci Rep
Volume:	10
Number:	1
Date:	2020
Publisher:	NATURE PUBLISHING GROUP
Place of Publication:	LONDON
ISSN:	2045-2322
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LIVER-FUNCTION; ANATOMY Multiple languages Multidisciplinary Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/33761