Asif Mohammed, Anewenah Leslie S, Reddy Nisha, Khan Farrukh A
Department of Surgery, Mercy Fitzgerald Hospital, Darby, Pennsylvania, USA.
Department of Surgery, Mercy Catholic Medical Center, Darby, Pennsylvania, USA.
BMJ Case Rep. 2017 Jan 31;2017:bcr2016218345. doi: 10.1136/bcr-2016-218345.
In ∼60% of cases, hepatic artery anatomy is of the normal variant. However, in 40% of cases, anomalies can exist. Preserving the hepatic blood supply is paramount in hepatobiliary procedures. We report an aberrant right hepatic artery coursing retroportally, with an aberrant left hepatic artery originating directly from the coeliac artery in a patient who underwent an elective pancreaticoduodenectomy (Whipple procedure).
在约60%的病例中,肝动脉解剖结构为正常变异型。然而,在40%的病例中,可能存在异常情况。在肝胆手术中,保留肝脏血供至关重要。我们报告了1例接受择期胰十二指肠切除术(惠普尔手术)的患者,其右肝动脉走行于门静脉后方,左肝动脉直接起源于腹腔干。