CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes
Background/Objectives: The aim was to investigate the association between variations in the dorsal pancreatic artery (DPA) and intrapancreatic arcade anatomy with Whipple procedure outcomes and postoperative complications. Methods: This retrospective study was conducted with 362 patients who underwe...
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MDPI AG
2025-01-01
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| author | Gorkem Ozdemir Tolga Olmez Okan Dilek Berkay Eyi Alper Sozutek Ahmet Seker |
| author_facet | Gorkem Ozdemir Tolga Olmez Okan Dilek Berkay Eyi Alper Sozutek Ahmet Seker |
| author_sort | Gorkem Ozdemir |
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| description | Background/Objectives: The aim was to investigate the association between variations in the dorsal pancreatic artery (DPA) and intrapancreatic arcade anatomy with Whipple procedure outcomes and postoperative complications. Methods: This retrospective study was conducted with 362 patients who underwent a Whipple procedure at the Department of Gastroenterological Surgery of Adana City Training and Research Hospital between January 2018 and April 2024. All data collected from medical records were compared and statistically analyzed according to the patients’ survival status and arcade subtypes. Results: After excluding cases that did not meet the study criteria, a total of 284 patients were included in the study. DPA was visualized in 55.98% (159/284) of patients, while the intrapancreatic arcade was observed in 25% (71/284). The most common origin of the DPA was the splenic artery in 69.2% (n = 110) of patients, followed by the superior mesenteric artery in 17.6% (n = 28). The frequency of intrapancreatic arcade anatomy variations was as follows: type 1: 28.2% (n = 20), type 2: 49.3% (n = 35) and type 3: 22.5% (n = 16). Arcade type 4 anatomy was not detected. Postoperative pancreatic fistula (POPF) complication was found to be statistically significantly higher in patients with type 3 anatomy (<i>p</i> = 0.042). The 90-day mortality and long-term mortality rates did not differ among the groups based on the variations in both DPA and intrapancreatic arcade anatomy types. Conclusions: Patients with intrapancreatic arcade type 3 anatomy had a higher risk of POPF complications. Determination of preoperative arcade type by computed tomography (CT) angiography may help to predict the risk of POPF. |
| format | Article |
| id | doaj-art-983863809a44407ab6e69a15d855c6bc |
| institution | Kabale University |
| issn | 2379-1381 2379-139X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | Tomography |
| spelling | doaj-art-983863809a44407ab6e69a15d855c6bc2025-01-24T13:50:52ZengMDPI AGTomography2379-13812379-139X2025-01-01111910.3390/tomography11010009CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery OutcomesGorkem Ozdemir0Tolga Olmez1Okan Dilek2Berkay Eyi3Alper Sozutek4Ahmet Seker5Department of Gastroenterological Surgery, Adana City Training and Research Hospital, 01370 Adana, TurkeyDepartment of Gastroenterological Surgery, Adana City Training and Research Hospital, 01370 Adana, TurkeyDepartment of Radiology, Adana City Training and Research Hospital, 01370 Adana, TurkeyDepartment of Radiology, Adana City Training and Research Hospital, 01370 Adana, TurkeyDepartment of Gastroenterological Surgery, Adana City Training and Research Hospital, 01370 Adana, TurkeyDepartment of Gastroenterological Surgery, Adana City Training and Research Hospital, 01370 Adana, TurkeyBackground/Objectives: The aim was to investigate the association between variations in the dorsal pancreatic artery (DPA) and intrapancreatic arcade anatomy with Whipple procedure outcomes and postoperative complications. Methods: This retrospective study was conducted with 362 patients who underwent a Whipple procedure at the Department of Gastroenterological Surgery of Adana City Training and Research Hospital between January 2018 and April 2024. All data collected from medical records were compared and statistically analyzed according to the patients’ survival status and arcade subtypes. Results: After excluding cases that did not meet the study criteria, a total of 284 patients were included in the study. DPA was visualized in 55.98% (159/284) of patients, while the intrapancreatic arcade was observed in 25% (71/284). The most common origin of the DPA was the splenic artery in 69.2% (n = 110) of patients, followed by the superior mesenteric artery in 17.6% (n = 28). The frequency of intrapancreatic arcade anatomy variations was as follows: type 1: 28.2% (n = 20), type 2: 49.3% (n = 35) and type 3: 22.5% (n = 16). Arcade type 4 anatomy was not detected. Postoperative pancreatic fistula (POPF) complication was found to be statistically significantly higher in patients with type 3 anatomy (<i>p</i> = 0.042). The 90-day mortality and long-term mortality rates did not differ among the groups based on the variations in both DPA and intrapancreatic arcade anatomy types. Conclusions: Patients with intrapancreatic arcade type 3 anatomy had a higher risk of POPF complications. Determination of preoperative arcade type by computed tomography (CT) angiography may help to predict the risk of POPF.https://www.mdpi.com/2379-139X/11/1/9dorsal pancreatic arterycomplicationintrapancreatic arcadepancreaticoduodenectomywhipple procedurecomputed tomography |
| spellingShingle | Gorkem Ozdemir Tolga Olmez Okan Dilek Berkay Eyi Alper Sozutek Ahmet Seker CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes Tomography dorsal pancreatic artery complication intrapancreatic arcade pancreaticoduodenectomy whipple procedure computed tomography |
| title | CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes |
| title_full | CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes |
| title_fullStr | CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes |
| title_full_unstemmed | CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes |
| title_short | CT Angiography Assessment of Dorsal Pancreatic Artery and Intrapancreatic Arcade Anatomy: Impact on Whipple Surgery Outcomes |
| title_sort | ct angiography assessment of dorsal pancreatic artery and intrapancreatic arcade anatomy impact on whipple surgery outcomes |
| topic | dorsal pancreatic artery complication intrapancreatic arcade pancreaticoduodenectomy whipple procedure computed tomography |
| url | https://www.mdpi.com/2379-139X/11/1/9 |
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