A falciform ligament wrap around the hepatic artery effective in reducing PPH: Study
A falciform ligament wrap around the hepatic artery is effective in reducing PPH, according to a recent study published in the British Journal of Surgery.
Postpancreatectomy haemorrhage (PPH) is a rare but potentially fatal complication after pancreatoduodenectomy. Preventive strategies are lacking with scarce data for support. The aim of this study was to investigate whether a prophylactic falciform ligament wrapped around the hepatic and gastroduodenal artery can prevent PPH from these vessels.
In a randomized, controlled, multicentre trial, patients who were scheduled for elective open partial pancreatoduodenectomy with pancreatojejunostomy between 5 November 2015 and 2 April 2020 were randomly allocated in a 1 : 1 ratio to undergo pancreatoduodenectomy with (intervention) or without (control) a falciform ligament wrap around the hepatic artery. The primary endpoint was the rate of clinically relevant PPH from the hepatic artery or gastroduodenal artery stump within 3 months after pancreatoduodenectomy. Secondary endpoints were the rates of associated postoperative complications, for example, postoperative pancreatic fistula (POPF) and PPH.
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