Gorantla V R, Nayak B S, Potu B K
Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, India.
Bratisl Lek Listy. 2012;113(2):120-2. doi: 10.4149/bll_2012_028.
The knowledge of vascular variations, like other anatomical variations, is important during the operative, diagnostic and endovascular procedures in abdomen. This report describes variations in the celiac trunk and abnormal entry of hepatic arteries into the liver as found during routine dissection in approximately 65 years old female cadaver. The celiac trunk was two inches long and gave 2 inferior phrenic arteries, a left gastric artery, and then bifurcated into a splenic and a common hepatic artery. The common hepatic artery gave rise to left hepatic artery, which entered the liver through fissure for ligamentum venosum. The common hepatic artery then divided into right hepatic and gastroduodenal arteries. The cystic artery was a branch of the left hepatic artery. The porta hepatis of the liver was situated on the right side of the caudate lobe.The knowledge of variation reported here is important during endovascular procedures, cholecystectomy and liver transplantation from the living donors (Fig. 2, Ref. 18).
与其他解剖变异一样,了解血管变异在腹部手术、诊断及血管内介入操作过程中至关重要。本报告描述了在一具约65岁女性尸体的常规解剖中发现的腹腔干变异及肝动脉异常入肝情况。腹腔干长两英寸,发出2支膈下动脉、1支胃左动脉,然后分为脾动脉和肝总动脉。肝总动脉发出左肝动脉,左肝动脉经静脉韧带裂入肝。肝总动脉随后分为右肝动脉和胃十二指肠动脉。胆囊动脉是左肝动脉的分支。肝门位于尾状叶右侧。本文报道的变异知识在血管内介入操作、胆囊切除术及活体供肝肝移植过程中具有重要意义(图2,参考文献18)。