Evidence map›Paper›PMID 35598338›Full record

ArticleInternational journal of surgery case reports2022

Splenic artery transposition for reconstruction of a large hepatic artery aneurysm: A case report and literature review.

Koichiro Kumano, Shinji Hashimoto, Osamu Shimomura, Yoshihiro Miyazaki, Manami Doi, Kazuhiro Takahashi, Tatsuya Oda

Open access · goldAbstract read
In one paragraph

Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Koichiro KumanoUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan.
Shinji HashimotoUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: shinji-H@md.tsukuba.ac.jp.
Osamu ShimomuraUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: oshimomura@md.tsukuba.ac.jp.
Yoshihiro MiyazakiUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: miyazaki.yoshihiro.su@ms.hosp.tsukuba.ac.jp.
Manami DoiUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: doimanami@md.tsukuba.ac.jp.
Kazuhiro TakahashiUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: kazu1123@md.tsukuba.ac.jp.
Tatsuya OdaUniversity of Tsukuba, Faculty of Medicine, Gastroenterological and Hepato-Biliary-Pancreatic Surgery, 1-1-1 Tennnodai, Tsukuba-city, Ibaraki-Ken 305-8575, Japan. Electronic address: tatoda@md.tsukuba.ac.jp.
University of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceHepatic artery aneurysms (HAAs) are rare. Typical treatment options for HAAs are surgical resection and endovascular treatment but treatment choices remain controversial. CASE PRESENTATION: A 65-year-old woman was rushed to our hospital suspected to have hemorrhage. Contrast-enhanced CT showed a large 12 cm aneurysm of the common hepatic artery (CHA). We diagnosed duodenal hemorrhage due to imminent rupture of the HAA. Angiography was first performed. The inferior pancreaticoduodenal artery was embolized with a coil under interventional radiology technique for arterial bleeding control. Next, we performed resection of the aneurysm and total pancreatectomy with splenic artery reservation. We reconstructed via splenic artery transposition because of the reconstruction distance, vascular system, and stability of the anastomosis. The patient was discharged from the hospital on postoperative day 21 without any complications. CLINICAL DISCUSSION: There are two key points in this report. Firstly, the choice of splenic artery transposition is optimal for caliber difference and reconstruction distance. The choice of splenic artery should be considered a reliable option. Secondly, total pancreatectomy avoids exposure to pancreatic juice at the anastomosis site due to pancreatic fistula.

conclusionSplenic artery transposition for HAA is advantageous in adjustability of the caliber difference and securing of sufficient distance. In addition, total pancreatectomy may be acceptable in patients with a normal pancreas to avoid fatal complications such as disruption of the anastomosis and reconstructed artery due to pancreatic juice exposure.

Indexed as

Hepatic artery aneurysmIVR & surgerySplenic artery transpositionTotal pancreatectomy

Identifiers

PMID35598338
PMCPMC9127166
OpenAlexW4280529001

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.