Abstract
Background: Early ligation of the inferior pancreaticoduodenal artery (IPDA) has been proposed to control intraoperative blood loss during pancreaticoduodenectomy (PD). This study aimed to evaluate the feasibility and utility of IPDA early ligation technique for PD.
Methods: The subjects of this study were 141 patients who underwent consecutive PD. The clinical characteristics, operative variables, and postoperative outcomes of patients who were divided into an IPDA early ligation group (n=93) and a no IPDA early ligation group (n=48) were retrospectively analyzed.
Results: The blood loss was significantly lower in the IPDA early ligation group than in the no IPDA early ligation group (p<0.001). In addition, the percentage of blood transfusion was significantly lower in the IPDA early ligation group than in the No IPDA early ligation group (p=0.020).
Conclusions: The IPDA early ligation technique is simple, feasible, and versatile to reduce blood loss and the rate of blood transfusion during PD.
