Surgical approaches to the superior mesenteric artery during minimally invasive pancreaticoduodenectomy: A systematic review

2021 ◽  
Author(s):  
Yuichi Nagakawa ◽  
Yusuke Watanabe ◽  
Shingo Kozono ◽  
Ugo Boggi ◽  
Chinnusamy Palanivelu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Surgical Approaches

scholarly journals Management of Spontaneous Isolated Mesenteric Artery Dissection: A Systematic Review

2021 ◽  
pp. 145749692110005
Author(s):  
S. Acosta ◽  
F. B. Gonçalves
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Conservative Therapy ◽  
Case Series ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Covered Stents ◽  
Bowel Infarction

Background and Aims: There are increasing reports on case series on spontaneous isolated mesenteric artery dissection, that is, dissections of the superior mesenteric artery and celiac artery, mainly due to improved diagnostic capacity of high-resolution computed tomography angiography performed around the clock. A few case–control studies are now available, while randomized controlled trials are awaited. Material and Methods: The present systematic review based on 97 original studies offers a comprehensive overview on risk factors, management, conservative therapy, morphological modeling of dissection, and prognosis. Results and Conclusions: Male gender, hypertension, and smoking are risk factors for isolated mesenteric artery dissection, while the frequency of diabetes mellitus is reported to be low. Large aortomesenteric angle has also been considered to be a factor for superior mesenteric artery dissection. The overwhelming majority of patients can be conservatively treated without the need of endovascular or open operations. Conservative therapy consists of blood pressure lowering therapy, analgesics, and initial bowel rest, whereas there is no support for antithrombotic agents. Complete remodeling of the dissection after conservative therapy was found in 43% at mid-term follow-up. One absolute indication for surgery and endovascular stenting of the superior mesenteric artery is development of peritonitis due to bowel infarction, which occurs in 2.1% of superior mesenteric artery dissections and none in celiac artery dissections. The most documented end-organ infarction in celiac artery dissections is splenic infarctions, which occurs in 11.2%, and is a condition that should be treated conservatively. The frequency of ruptured pseudoaneurysm in the superior mesenteric artery and celiac artery dissection is very rare, 0.4%, and none of these patients were in shock at presentation. Endovascular therapy with covered stents should be considered in these patients.

scholarly journals Common celiacomesenteric trunk: a rare anatomic variation

2009 ◽  
Vol 8 (3) ◽  
pp. 271-273 ◽  
Author(s):  
K. Sridhar Varma ◽  
Narendra Pamidi ◽  
Venkata R. Vollala
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Anatomic Variation ◽  
Celiac Trunk ◽  
Vascular Anomalies ◽  
Common Origin ◽  
Mesenteric Arteries ◽  
Surgical Approaches ◽  
Celiacomesenteric Trunk

Common celiacomesenteric trunk, with the celiac and superior mesenteric arteries having a common origin from the aorta, is the least frequently reported anatomic variation of all abdominal vascular anomalies. Knowledge of variations concerning the celiac trunk and superior mesenteric artery are of great importance for both surgical approaches and angiographic examinations. Clinicians should keep in mind these variations to avoid complications.

Superior mesenteric artery first approach versus standard pancreaticoduodenectomy: a systematic review and meta-analysis

2017 ◽  
Vol 16 (2) ◽  
pp. 127-138 ◽  
Author(s):  
Ionut Negoi ◽  
Sorin Hostiuc ◽  
Alexandru Runcanu ◽  
Ruxandra Irina Negoi ◽  
Mircea Beuran
Keyword(s):  
Systematic Review ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Meta Analysis ◽  
Artery First

scholarly journals Superior mesenteric artery (SMA) resection during pancreatectomy for malignant disease of the pancreas: a systematic review

HPB ◽  
2017 ◽  
Vol 19 (6) ◽  
pp. 483-490 ◽  
Author(s):  
Santhalingam Jegatheeswaran ◽  
Minas Baltatzis ◽  
Saurabh Jamdar ◽  
Ajith K. Siriwardena
Keyword(s):  
Systematic Review ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Malignant Disease ◽  
Sma Resection
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