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Laparoscopic fundoplication and the aberrant left hepatic artery
1Morristown Memorial Hospital, NJ, USA.
Archives of Surgery (Chicago, Ill. : 1960)
|April 1, 1997
Summary
Aberrant left hepatic arteries are common during laparoscopic fundoplication, but occur less frequently than textbooks suggest. Surgeons must identify and preserve this vessel for safe operation.
Area of Science:
- Surgical anatomy
- Minimally invasive surgery
Background:
- Aberrant left hepatic artery is a known surgical anomaly.
- Textbook incidence is often cited as 25%.
Purpose of the Study:
- To determine the actual incidence of aberrant left hepatic artery during laparoscopic fundoplication.
- To assess the impact of this anomaly on surgical dissection and outcomes.
Main Methods:
- Retrospective review of laparoscopic fundoplication cases.
- Intraoperative identification and documentation of aberrant left hepatic artery.
Main Results:
- The aberrant left hepatic artery was identified in 6.5% of patients.
- The anomaly was more prevalent in female patients.
- The artery could be safely identified and preserved in all cases.
Conclusions:
- The incidence of aberrant left hepatic artery during laparoscopic fundoplication is lower than commonly cited.
- Careful identification and preservation of the aberrant left hepatic artery are crucial for safe surgical completion.