The standard surgery for distal common bile duct adenocarcinoma,pancreatic adenocarcinoma,and ampullary adenocarcinoma is pancreaticoduodenectomy(PD).PD is a technically challenging procedure with high mortality(0-3.5...The standard surgery for distal common bile duct adenocarcinoma,pancreatic adenocarcinoma,and ampullary adenocarcinoma is pancreaticoduodenectomy(PD).PD is a technically challenging procedure with high mortality(0-3.5%)and morbidity(38-50%)rates(1-5).It is essential to recognize the anatomy preoperatively,especially of the hepatic artery and positions of the tumors,to avoid adverse events(6,7).The aberrant right hepatic artery(aRHA)originating from the superior mesenteric artery(SMA)is the most frequent and considerable hepatic artery variation(8-10).展开更多
文摘The standard surgery for distal common bile duct adenocarcinoma,pancreatic adenocarcinoma,and ampullary adenocarcinoma is pancreaticoduodenectomy(PD).PD is a technically challenging procedure with high mortality(0-3.5%)and morbidity(38-50%)rates(1-5).It is essential to recognize the anatomy preoperatively,especially of the hepatic artery and positions of the tumors,to avoid adverse events(6,7).The aberrant right hepatic artery(aRHA)originating from the superior mesenteric artery(SMA)is the most frequent and considerable hepatic artery variation(8-10).
