Department of Surgery, University Hospital Kralovske Vinohrady, Third Faculty of Medicine, Charles University, Prague, Czech Republic.
Department of Anatomy, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
Clin Anat. 2020 Nov;33(8):1249-1262. doi: 10.1002/ca.23576. Epub 2020 Feb 18.
In recent years multidetector computed tomography (MDCT) has been used to investigate vascular anatomy for scientific and diagnostic purposes. These studies allow for much larger sample sizes than traditional cadaveric studies. The aim of this research was to perform a systematic review and meta-analysis on studies investigating the variations of the celiac trunk using MDCT. Major medical databases were used to find studies investigating celiac trunk anatomy using MDCT. Extracted information included demographic details, number of normal celiac trunks, and number of each variant celiac trunk. Using a random effects meta-analysis the pooled prevalence of each variation was calculated. A total of 36 studies from 14 countries and four continents were included in the meta-analysis. The total number of subjects included was 17,391. The total prevalence of variant celiac trunks was 10.85%. The different types of celiac trunk variations with their prevalences were: gastrosplenic trunk (3.46%), hepatosplenic trunk (3.88%), hepatogastric trunk (0.24%), absent celiac trunk (0.28%), celiacomesenteric trunk (0.46%), hepatosplenomesenteric trunk (0.26%), gastrosplenomesenteric trunk (0.07%), and celiacomesenteric anastomosis (0.09%). A total of 61 cases (0.19%) were either not described or not described adequately to be included in our classification. Major variations of the celiac trunk are not uncommon and should be anticipated before radiological and surgical interventions. Knowledge of celiac trunk anatomy is important in hepatopancreatobiliary surgery, transplantology, and interventional radiology.
近年来，多排螺旋计算机断层扫描（MDCT）已被用于科学和诊断目的的血管解剖研究。这些研究允许比传统的尸体研究更大的样本量。本研究旨在对使用 MDCT 研究腹腔干变异的研究进行系统评价和荟萃分析。主要医学数据库用于查找使用 MDCT 研究腹腔干解剖的研究。提取的信息包括人口统计学细节、正常腹腔干的数量和每种变异腹腔干的数量。使用随机效应荟萃分析计算每种变异的 pooled 患病率。共有来自 14 个国家和四个大陆的 36 项研究纳入荟萃分析。纳入研究的总人数为 17391 人。变异腹腔干的总患病率为 10.85%。不同类型的腹腔干变异及其患病率如下：胃脾干（3.46%）、肝脾干（3.88%）、肝胃干（0.24%）、无腹腔干（0.28%）、腹腔肠系膜干（0.46%）、肝脾肠系膜干（0.26%）、胃脾肠系膜干（0.07%）和腹腔肠系膜吻合（0.09%）。共有 61 例（0.19%）病例未被描述或未被充分描述，无法纳入我们的分类。腹腔干的主要变异并不少见，在进行放射学和手术干预之前应予以预测。了解腹腔干解剖结构对于肝胆胰外科学、移植学和介入放射学都很重要。
