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ABERRANT LEFT HEPATIC ARTERY ARISING FROM THE LEFT GASTRIC ARTERY: PERIOPERATIVE EFFECTS OF A RISKY VASCULAR ANOMALY IN GASTRECTOMY

Hüseyin Kılavuz, Yiğit Düzköylü, Hüsnü Ozan Şevik, Oğuzhan Tekin, Aytül Hande Yardımcı, Sercan Yüksel

Journal of Health Sciences and Medicine - 2025;8(6):981-987

Başakşehir Çam and Sakura City Hospital

 

Aims: The aim of this study was to analyze the results of the choice of cutting and preservation in different surgical methods in the presence of aberrant left hepatic artery (ALHA) during gastric cancer surgery. Methods: This study was conducted as a single-center, retrospective study between 01/01/2022 and 31/08/2023. Patients who underwent open, laparoscopic and robotic surgery due to gastric cancer were included. The presence of ALHA in preoperative computed tomography scans was screened using the application focusing on vascular anatomy in the radiology automation system. The results of patients with and without ALHA were analyzed. Results: No statistically significant difference was observed between the groups in terms of duration of surgery, length of hospital stay, history of neoadjuvant therapy, total number of lymph nodes removed, and number of metastatic lymph nodes. Conclusion: We recommend close postoperative monitoring of liver enzymes and collaboration with an experienced radiologist in patients with suspected ALHA.