A systematic review and meta-analysis explored whether the presence of an aberrant right hepatic artery (A-RHA) influences outcomes after pancreaticoduodenectomy (PD). Results indicate that A-RHA doesn’t significantly affect critical endpoints, such as tumor margin (R1) rate, overall survival, morbidity, mortality, and biliary fistula rate. Additionally, non-critical outcomes like postoperative pancreatic fistula, delayed gastric emptying, post-pancreatectomy hemorrhage, length of stay, and operative time remained similar between groups. This study suggests that the presence of A-RHA doesn’t negatively impact the short-term or long-term clinical outcomes of PD.
Review by Ricci C, Alberici L (…) Casadei R et 5 al. in World J Surg
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