Dilek ON, Atay A. Dealing with hepatic artery traumas: A clinical literature review. World J Clin Cases 2021; 9(28): 8425-8440 [PMID: 34754851 DOI: 10.12998/wjcc.v9.i28.8425]
Corresponding Author of This Article
Osman Nuri Dilek, FACS, Professor, Department of General Surgery, Division of Hepatopancreatobiliary Surgery, İzmir Katip Celebi University School of Medicine, Basin Sitesi, İzmir 35150, Turkey. osmannuridilek@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2021; 9(28): 8425-8440 Published online Oct 6, 2021. doi: 10.12998/wjcc.v9.i28.8425
Dealing with hepatic artery traumas: A clinical literature review
Osman Nuri Dilek, Arif Atay
Osman Nuri Dilek, Department of General Surgery, Division of Hepatopancreatobiliary Surgery, İzmir Katip Celebi University School of Medicine, İzmir 35150, Turkey
Arif Atay, Department of Surgery, İzmir Katip Celebi University School of Medicine, İzmir 35150, Turkey
Author contributions: Dilek ON wrote the majority of paper, critically revised the manuscript, and also coordinated the writing and correspondence of the paper; Atar A collected data and performed analysis and interpretation of data.
Conflict-of-interest statement: The authors declare that there are no conflicts of interest in connection with this paper.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Osman Nuri Dilek, FACS, Professor, Department of General Surgery, Division of Hepatopancreatobiliary Surgery, İzmir Katip Celebi University School of Medicine, Basin Sitesi, İzmir 35150, Turkey. osmannuridilek@gmail.com
Received: February 9, 2021 Peer-review started: February 9, 2021 First decision: March 30, 2021 Revised: April 5, 2021 Accepted: August 11, 2021 Article in press: August 11, 2021 Published online: October 6, 2021 Processing time: 230 Days and 20.1 Hours
Core Tip
Core Tip: The hepatic artery (HA) is one of the most threatened vascular structures during hepatopancreatobiliary surgeries and interventional procedures. Complications and deaths due to HA injury are less common today. The risk of complications increases in patients with hemodynamic instability, jaundice, and cholangitis. Revealing the variations in the preoperative radiological evaluation will reduce the risks. In cases where HA injury is detected, arterial flow continuity should be tried to be maintained with primary anastomosis, arterial transpositions, or grafts. In cases where bile duct injury develops, patients should be directed to hepatopancreatobiliary surgery centers, considering the possibility of accompanying HA injury. Large-scale and multicentric studies are needed to understand better the early and long-term results of HA ligation and determine preventive procedures.