Department of Gastrointestinal Surgery, Saitama Cancer Center, 780 Komuro, Ina, Kita-adachi-gun, Saitama, 362-0806, Japan.
Clin J Gastroenterol. 2022 Jun;15(3):553-559. doi: 10.1007/s12328-022-01618-4. Epub 2022 Mar 29.
The celiac artery usually trifurcates into the common hepatic artery, splenic artery, and left gastric artery, but it is known to present several anatomical variations. In such cases, detailed knowledge of the variation is needed preoperatively to safely perform surgery. A 77-year-old woman was referred to our hospital for the treatment of gastric cancer. She had a triple anatomical variation: simultaneous presence of the hepato-spleno-mesenteric trunk, a common trunk for both inferior phrenic arteries and the left gastric artery, and a common hepatic artery that ran behind the portal vein. We detected this variation on routine preoperative multidetector computed tomography angiography, and safely and adequately performed laparoscopic distal gastrectomy.
腹腔动脉通常分为三支，即肝总动脉、脾动脉和胃左动脉，但它也存在多种解剖变异。在这种情况下，术前需要详细了解变异情况，以确保手术安全。一位 77 岁女性因胃癌被转诊至我院。她存在三种解剖变异：肝脾肠系膜干同时存在、膈下动脉和胃左动脉共用干以及门静脉后走行的肝总动脉。我们在常规术前多层螺旋 CT 血管造影中发现了这一变异，并安全、充分地完成了腹腔镜下远端胃切除术。
