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Cited 3 times in

Adverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis

DC Field Value Language
dc.contributor.author김유민-
dc.contributor.author김형일-
dc.contributor.author손태일-
dc.contributor.author송정호-
dc.contributor.author이세진-
dc.contributor.author조민아-
dc.contributor.author최서희-
dc.contributor.author형우진-
dc.date.accessioned2022-09-14T01:15:02Z-
dc.date.available2022-09-14T01:15:02Z-
dc.date.issued2021-03-
dc.identifier.issn2093-582X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/190367-
dc.description.abstractPurpose: No consensus exists on whether to preserve or ligate an aberrant left hepatic artery (ALHA), which is the most commonly encountered hepatic arterial variation during gastric surgery. Therefore, we aimed to evaluate the clinical effects of ALHA ligation by analyzing the perioperative outcomes. Materials and methods: We retrospectively reviewed the data of 5,310 patients who underwent subtotal/total gastrectomy for gastric cancer. Patients in whom the ALHA was ligated (n=486) were categorized into 2 groups according to peak aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels: moderate-to-severe (MS) elevation (≥5 times the upper limit of normal [ULN]; MS group, n=42) and no-to-mild (NM) elevation (<5 times the ULN; NM group, n=444). The groups were matched 1:3 using propensity score-matching analysis to minimize confounding factors that can affect the perioperative outcomes. Results: The mean operation time (P=0.646) and blood loss amount (P=0.937) were similar between the 2 groups. The length of hospital stay was longer in the MS group (13.0 vs. 7.8 days, P=0.022). No postoperative mortality occurred. The incidence of grade ≥ IIIa postoperative complications (19.0% vs. 5.1%, P=0.001), especially pulmonary complications (11.9% vs. 2.5%, P=0.003), was significantly higher in the MS group. This group also showed a higher Comprehensive Complication Index (29.0 vs. 13.9, P<0.001). Conclusions: Among patients with a ligated ALHA, those with peak AST/ALT ≥5 times the ULN showed worse perioperative outcomes in terms of hospital stay and severity of complications. More precise perioperative decision-making tools are needed to better determine whether to preserve or ligate an ALHA.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Gastric Cancer Association-
dc.relation.isPartOfJOURNAL OF GASTRIC CANCER-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleAdverse Effects of Ligation of an Aberrant Left Hepatic Artery Arising from the Left Gastric Artery during Radical Gastrectomy for Gastric Cancer: a Propensity Score Matching Analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSejin Lee-
dc.contributor.googleauthorTaeil Son-
dc.contributor.googleauthorJeong Ho Song-
dc.contributor.googleauthorSeohee Choi-
dc.contributor.googleauthorMinah Cho-
dc.contributor.googleauthorYoo Min Kim-
dc.contributor.googleauthorHyoung-Il Kim-
dc.contributor.googleauthorWoo Jin Hyung-
dc.identifier.doi10.5230/jgc.2021.21.e6-
dc.contributor.localIdA00782-
dc.contributor.localIdA01154-
dc.contributor.localIdA01998-
dc.contributor.localIdA04763-
dc.contributor.localIdA05933-
dc.contributor.localIdA05418-
dc.contributor.localIdA05052-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ01415-
dc.identifier.eissn2093-5641-
dc.identifier.pmid33854815-
dc.subject.keywordGastrectomy-
dc.subject.keywordGastric cancer-
dc.subject.keywordHepatic artery-
dc.subject.keywordLiver dysfunction-
dc.subject.keywordPostoperative complications-
dc.contributor.alternativeNameKim, Yoo Min-
dc.contributor.affiliatedAuthor김유민-
dc.contributor.affiliatedAuthor김형일-
dc.contributor.affiliatedAuthor손태일-
dc.contributor.affiliatedAuthor송정호-
dc.contributor.affiliatedAuthor이세진-
dc.contributor.affiliatedAuthor조민아-
dc.contributor.affiliatedAuthor최서희-
dc.contributor.affiliatedAuthor형우진-
dc.citation.volume21-
dc.citation.number1-
dc.citation.startPage74-
dc.citation.endPage83-
dc.identifier.bibliographicCitationJOURNAL OF GASTRIC CANCER, Vol.21(1) : 74-83, 2021-03-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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