Department of Anatomical Dissection and Donation, Medical University of Lodz, Poland.
Department of Orthopaedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Bulgaria.
Folia Morphol (Warsz). 2022;81(3):533-543. doi: 10.5603/FM.a2021.0081. Epub 2021 Oct 5.
Modern medicine is developing towards application of endovascular techniques such as trans-arterial hepatic chemoembolisation. They displace classic open procedures. However, their correct planning and performance depend on the knowledge pre-operative detection of hepatic arterial anatomical variations. The main abnormality that may generate complications during radiological and surgical procedures is occurrence of an accessory hepatic artery. In the present study we propose our own classification of the variability observed in the vessels based on cases reported in the literature. It analyses more types of variations as compared to previous trials. A great advantage of this study is also a description of different pathological and frequently life-threatening conditions associated with hepatic arteries. This study is of value to medical practitioners, e.g. surgeons.
现代医学正朝着经动脉肝化疗栓塞等血管内技术的应用方向发展。这些技术取代了传统的开放手术。然而，它们的正确规划和执行取决于术前对肝动脉解剖变异的检测。在放射学和外科手术过程中可能引发并发症的主要异常是副肝动脉的出现。在本研究中，我们根据文献中报道的病例，对所观察到的血管变异性提出了自己的分类。与以往的研究相比，它分析了更多类型的变异。本研究的一个很大优势还在于描述了与肝动脉相关的不同病理和经常危及生命的情况。本研究对医疗从业者（如外科医生）具有重要价值。
