Clinical impact of a celiac axis stenosis in patients undergoing hepatobiliary surgery

Background Celiac axis stenosis (CAS) often is an incidental finding in terms of diagnostic for hepatobiliary surgery since most cases remain asymptomatic. It remains unclear whether CAS is a risk factor for postoperative complications after hepatobiliary surgery. Therefore, the aim of this study wa...

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Published in:Langenbeck's archives of surgery 2023-07, Vol.408 (1), p.279-279, Article 279
Main Authors: Bieniek, Pawel A., Katou, Shadi, Kraehling, Hermann, Masthoff, Max, Morgul, Haluk, Pascher, Andreas, Struecker, Benjamin
Format: Article
Language:English
Subjects:
Abdominal Surgery
Cardiac Surgery
Carotid Stenosis - surgery
Constriction, Pathologic - diagnostic imaging
Endarterectomy, Carotid - adverse effects
General Surgery
Humans
Medicine
Medicine & Public Health
Postoperative Complications - diagnostic imaging
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Retrospective Studies
Risk Factors
Stents - adverse effects
Thoracic Surgery
Traumatic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Background Celiac axis stenosis (CAS) often is an incidental finding in terms of diagnostic for hepatobiliary surgery since most cases remain asymptomatic. It remains unclear whether CAS is a risk factor for postoperative complications after hepatobiliary surgery. Therefore, the aim of this study was to evaluate the impact of an asymptomatic CAS on the postoperative morbidity and survival of patients undergoing hepatobiliary surgery. Methods We retrospectively analyzed CT scans and clinicopathological data of 250 consecutive patients undergoing hepatobiliary surgery between 2011 and 2018 in our tertiary center. We compared the postoperative course between patients with and without an incidental CAS as well as their overall survival. Results CAS was caused by atherosclerotic stenosis in 16 (64%) patients, by ligamentous stenosis in 4 (16%) and by combined conditions in 5 cases (20%). Mean age of patients in the CAS group was significantly higher in comparison to patients of the non-CAS group (71.0 vs. 59.1 years, p  
ISSN:1435-2451
1435-2443
1435-2451
DOI:10.1007/s00423-023-03003-2