Yamashita Kohei, Hashimoto Daisuke, Itoyama Rumi, Okabe Hirohisa, Chikamoto Akira, Beppu Toru, Baba Hideo
Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Chuo-ku, Kumamoto City, 860-8556 Japan.
Surg Case Rep. 2015 Sep 28;1:90. doi: 10.1186/s40792-015-0092-7. eCollection 2015 Dec.
The right hepatic artery usually branches from the common hepatic artery, however, there are cases showing anatomic variations. We present 41-year-old female patient with gallbladder cancer. In this case, the accessory right hepatic artery branched from the gastroduodenal artery, passed in front of the common bile duct and fed into the anterior segment of the liver. Cholecystectomy and resection of the extrahepatic bile duct with hepaticoenterostomy were performed successfully, preserving the accessory right hepatic artery. There are few reports presenting such an extremely rare anomaly of hepatic arteries in the English literature. Additionally, we herein present a review of the English literature regarding anatomic variations of right hepatic artery.
右肝动脉通常发自肝总动脉,然而,存在一些解剖变异的情况。我们报告了一名41岁患有胆囊癌的女性患者。在该病例中,副右肝动脉发自胃十二指肠动脉,在胆总管前方走行并供血至肝前段。成功实施了胆囊切除术及肝外胆管切除并肝肠吻合术,保留了副右肝动脉。英文文献中鲜有报道这种极其罕见的肝动脉异常情况。此外,我们在此对英文文献中关于右肝动脉解剖变异的内容进行综述。