Open AccessIntraoperative evaluation of hepatic artery blood flow during pancreatoduodenectomy (HEPARFLOW): Protocol of an exploratory study
Author(s) -
Mohammed Al-Saeedi,
Leonie Frank-Moldzio,
Miriam Klauß,
Philipp Mayer,
Tom Bruckner,
Elias Khajeh,
Mohammad Golriz,
Arianeb Mehrabi,
Phillip Knebel,
Markus K. Diener,
Markus W. Büchler,
Oliver Strobel
Publication year - 2020
Publication title -
international journal of surgery protocols
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.291
H-Index - 4
ISSN - 2468-3574
DOI - 10.1016/j.isjp.2020.03.003
Subject(s) - medicine , gastroduodenal artery , common hepatic artery , blood flow , artery , pancreaticoduodenectomy , hemodynamics , radiology , celiac artery , surgery , pancreas
Pancreatoduodenectomy is the treatment of choice for a range of benign and malignant diseases. The pancreatic head must be separated from its supplying vessels, especially the gastroduodenal artery, during this operation. However, dissection of the gastroduodenal artery can disturb blood supply to the liver and result in liver ischemia. There is currently no well-established algorithm to evaluate and ensure sufficient blood flow in patients with altered hepatic artery blood flow. To address this important issue, this study aims to establish a basis for assessing liver blood supply during pancreatoduodenectomy. Furthermore, factors influencing arterial blood flow and related postoperative complications will be evaluated.