Torres K, Staśkiewicz G, Denisow M, Pietrzyk Ł, Torres A, Szukała M, Czekajska-Chehab E, Drop A
Human Anatomy Department, Medical University of Lublin, Poland.
Folia Morphol (Warsz). 2015;74(1):93-9. doi: 10.5603/FM.2014.0059.
The abdominal vessels show a number of abnormalities and pathologies knowledge of which is important during open as well as laparoscopic surgeries. One of the most common vessels which pattern has many variations is the coeliac trunk. The present study was undertaken on homogeneous population to assess morphology of the coeliac trunk and to evaluate the possible variability of its branches.
Standard abdominal multidetector computed tomography examinations were performed on a total of 1569 patients diagnosed by 2 radiologists independently; in case of doubts common assessment was performed.
The coeliac trunk followed the classic pattern in 92.7% of the cases (1455/1569 of patients). The gastrosplenic trunk was detected in 4.1% of cases (64/1569); the hepatosplenic trunk in 2.2% of cases (34/1569); the coeliac-mesenteric trunk was observed in 0.5% of cases (8/1569); the hepatogastric trunk in 0.2% of cases (4/1569); the splenomesenteric trunk was detected in 0.1% of cases (2/1569). In the next 0.1% the coeliac trunk was absent. The hepatosplenomesenteric and the coeliac-colic trunk were not observed in the study population.
Vascular anatomical abnormality is usually asymptomatic hovewer, its preoperative knowledge is helpful to reduce complications like vascular bleeding when dissecting the hapato-pancreatic region. The coeliac trunk and its branches can be fast and easy evaluated in computed tomography exams performed due to various symptoms from abdominal cavity.
腹部血管存在多种异常和病变，了解这些知识在开放手术和腹腔镜手术中都很重要。腹腔干是最常见的血管之一，其形态有多种变异。本研究针对同质人群进行，旨在评估腹腔干的形态，并评估其分支的可能变异情况。
对总共1569例患者进行了标准的腹部多排螺旋CT检查，由2名放射科医生独立诊断；如有疑问则进行共同评估。
92.7%的病例（1455/1569例患者）腹腔干呈经典形态。胃脾干在4.1%的病例中被检测到（64/1569）；肝脾干在2.2%的病例中被检测到（34/1569）；腹腔 - 肠系膜干在0.5%的病例中被观察到（8/1569）；肝胃干在0.2%的病例中被检测到（4/1569）；脾肠系膜干在0.1%的病例中被检测到（2/1569）。在接下来的0.1%的病例中腹腔干缺如。在研究人群中未观察到肝脾肠系膜干和腹腔 - 结肠干。
血管解剖异常通常无症状，然而，术前了解有助于减少在解剖肝胰区域时血管出血等并发症。在因腹腔各种症状而进行的CT检查中，可以快速且容易地评估腹腔干及其分支。
