Zagyapan Ragıba, Kürkçüoğlu Ayla, Bayraktar Ahmet, Pelin Can, Aytekin Cüneyt
Department of Anatomy, Başkent University Faculty of Medicine, Ankara, Turkey.
Turk J Gastroenterol. 2014 Dec;25 Suppl 1:104-9. doi: 10.5152/tjg.2014.5406.
BACKGROUND/AIMS: Anatomical variation of the abdominal arteries is important. Historic and modern anatomists, radiologists, as well as surgeons have reported and accumulated anatomical variations with a morphological and clinical interest. During graft procurement and reconstruction, accidental injury of the hepatic artery is more likely in the presence of hepatic arterial variation, which can be a common clinical entity. During cadaveric dissection and diagnostic radiological imaging, various types of vascular anomalies are frequently found in human abdominal viscera, especially the celiac trunk. The aim of the present study is to determine anatomical variations in the celiac trunk and hepatic arterial system.
Digital subtraction angiography data were collected from 152 consecutive donor patients (103 males and 49 females, aged between 6 and 77 years) who underwent orthotopic liver transplantation.
We examined the anatomy of the celiac trunk in a total of 152 consecutive patients. In total, 62.5% (95/152) of patients showed the classical trifurcation of the celiac trunk. Variant right hepatic arteries arising from the superior mesenteric artery were observed in 17.8% (27/152), the hepatic arteries arising from the left gastric artery were found in 13.1% (20/152), and common hepatic arteries arising from the superior mesenteric artery were observed in 6.6% (10/152) of patients.
These data are useful for planning and performing surgical and radiological procedures of the upper abdomen.
背景/目的：腹部动脉的解剖变异很重要。历代及现代解剖学家、放射科医生以及外科医生都报告并积累了具有形态学和临床意义的解剖变异。在获取移植物和进行重建过程中，存在肝动脉变异时更易意外损伤肝动脉，这可能是一种常见的临床情况。在尸体解剖和诊断性放射成像过程中，人体腹部脏器尤其是腹腔干常发现各种类型的血管异常。本研究的目的是确定腹腔干和肝动脉系统的解剖变异。
收集了152例连续接受原位肝移植的供体患者（103例男性和49例女性，年龄6至77岁）的数字减影血管造影数据。
我们对总共152例连续患者的腹腔干解剖结构进行了检查。总体而言，62.5%（95/152）的患者表现为腹腔干典型的三分叉。观察到17.8%（27/152）的患者存在起自肠系膜上动脉的变异型右肝动脉，13.1%（20/152）的患者发现有起自胃左动脉的肝动脉，6.6%（10/152）的患者观察到起自肠系膜上动脉的肝总动脉。
这些数据有助于上腹部手术和放射学操作的规划与实施。
