Sol gastrik arterden çıkan aberran sol hepatik arter varlığı: gastrektomide riskli damar anomalisinin perioperatif etkileri

Abstract

Amaç: Bu çalışmanın amacı, mide kanseri cerrahisi sırasında aberran sol hepatik arter (ASHA) varlığında farklı cerrahi yöntemlerde ASHA’ya yönelik yaklaşımların sonuçlarını analiz etmektir. Yöntemler: Bu çalışma, 01.01.2022 ile 31.08.2023 tarihleri arasında tek merkezli, retrospektif bir çalışma olarak yürütülmüştür. Mide kanseri nedeniyle açık, laparoskopik ve robotik cerrahi geçiren hastalar çalışmaya dahil edilmiştir. Ameliyat öncesi bilgisayarlı tomografi taramalarında AsHA varlığı, radyoloji otomasyon sistemindeki vasküler anatomiye odaklanan uygulama kullanılarak taranmıştır. ASHA olan ve olmayan hastaların sonuçları analiz edilmiştir. Bulgular: Gruplar arasında ameliyat süresi, hastanede kalış süresi, neoadjuvan tedavi öyküsü, çıkarılan toplam lenf nodu sayısı ve metastatik lenf nodu sayısı açısından istatistiksel olarak anlamlı bir fark gözlenmemiştir. Sonuçlar: ASHA şüphesi olan hastalarda ameliyat sonrası karaciğer enzimlerinin yakın takibini ve deneyimli bir radyologla işbirliği yapılmasını öneriyoruz.

Keywords

• Aberran sol hepatik arter
• Mide kanseri
• Onkolojik cerrahi
• Robotik cerrahi

Aberrant left hepatic artery arising from the left gastric artery: perioperative effects of a risky vascular anomaly in gastrectomy

Abstract

Aims: The aim of this study was to analyze the results of the choice of cutting and preservation in different surgical methods in the presence of aberrant left hepatic artery (ALHA) during gastric cancer surgery. Methods: This study was conducted as a single-center, retrospective study between 01/01/2022 and 31/08/2023. Patients who underwent open, laparoscopic and robotic surgery due to gastric cancer were included. The presence of ALHA in preoperative computed tomography scans was screened using the application focusing on vascular anatomy in the radiology automation system. The results of patients with and without ALHA were analyzed. Results: No statistically significant difference was observed between the groups in terms of duration of surgery, length of hospital stay, history of neoadjuvant therapy, total number of lymph nodes removed, and number of metastatic lymph nodes. Conclusion: We recommend close postoperative monitoring of liver enzymes and collaboration with an experienced radiologist in patients with suspected ALHA

Keywords

• Aberrant left hepatic artery
• gastric cancer
• oncological surgery
• robotic surgery

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