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肝动脉的解剖变异:对临床实践的影响。

Anatomical variations of hepatic arteries: implications for clinical practice.

作者信息

Samuolyte Austeja, Luksaite-Lukste Raminta, Kvietkauskas Mindaugas

机构信息

Clinic of Family Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

Department of Radiology, Nuclear Medicine and Medical Physics, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

出版信息

Front Surg. 2025 Jun 18;12:1593800. doi: 10.3389/fsurg.2025.1593800. eCollection 2025.

DOI:10.3389/fsurg.2025.1593800
PMID:40607371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12213569/
Abstract

Variations in hepatic arterial anatomy are highly prevalent, occurring in 45% to 75% of individuals. Understanding hepatic arterial anatomy is critical in optimizing surgical outcomes in hepatopancreatobiliary surgery, transplantation, and interventional radiology. Aberrant arteries are prone to accidental injury during surgery, which may lead to life threatening complications, such as hemorrhage or ischemia. Therefore, a clear understanding of hepatic arterial anatomy is essential for reducing intraoperative risk and improving surgical outcomes. To address this need, the present review provides an overview of hepatic arterial variants according to Michel's classification, aiming to enhance anatomical awareness and contribute to improved procedural planning across disciplines.

摘要

肝动脉解剖变异非常普遍,在45%至75%的个体中出现。了解肝动脉解剖对于优化肝胰胆手术、移植和介入放射学的手术效果至关重要。异常动脉在手术过程中容易意外损伤,这可能导致危及生命的并发症,如出血或缺血。因此,清楚了解肝动脉解剖对于降低术中风险和改善手术效果至关重要。为满足这一需求,本综述根据米歇尔分类法概述了肝动脉变异,旨在增强解剖学认识并有助于跨学科改进手术规划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc4/12213569/f47c5641c746/fsurg-12-1593800-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc4/12213569/f47c5641c746/fsurg-12-1593800-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9fc4/12213569/f47c5641c746/fsurg-12-1593800-g001.jpg

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本文引用的文献

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Evaluating the surgical and oncological outcomes of hepatic artery variations in minimally invasive pancreaticoduodenectomy: insights from 2023 data at a high-volume pancreatic center.评估微创胰十二指肠切除术中肝动脉变异的手术及肿瘤学结局:来自一家高容量胰腺中心的2023年数据洞察
World J Surg Oncol. 2025 Feb 7;23(1):44. doi: 10.1186/s12957-025-03704-6.
2
Antiplatelet Prophylaxis Reduces the Risk of Early Hepatic Artery Thrombosis Following Liver Transplantation in High-Risk Patients.抗血小板预防可降低高危患者肝移植后早期肝动脉血栓形成的风险。
Transpl Int. 2024 Dec 18;37:13440. doi: 10.3389/ti.2024.13440. eCollection 2024.
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Post-operative complications of cholecystectomy: what the radiologist needs to know.
胆囊切除术后并发症:放射科医生需要了解的内容。
Abdom Radiol (NY). 2025 Jan;50(1):109-130. doi: 10.1007/s00261-024-04387-5. Epub 2024 Jun 28.
4
Anatomical variations of cystic artery, cystic duct, and gall bladder and their associated intraoperative and postoperative complications: an observational study.胆囊动脉、胆囊管及胆囊的解剖变异及其相关术中及术后并发症:一项观察性研究。
Ann Med Surg (Lond). 2023 Jul 10;85(8):3880-3886. doi: 10.1097/MS9.0000000000001079. eCollection 2023 Aug.
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Hepatic arterial variations detected at multidetector computer tomography angiography in the Romanian population.在罗马尼亚人群中通过多排螺旋计算机断层血管造影检测到的肝动脉变异
Folia Morphol (Warsz). 2024;83(2):354-359. doi: 10.5603/FM.a2023.0050. Epub 2023 Jul 31.
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Evaluation of celiac artery and common hepatic artery variations by CT-angiography and new classification model.CT 血管造影评估腹腔动脉和肝总动脉变异及新分类模型。
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Eur Heart J. 2023 Nov 1;44(41):4324-4336. doi: 10.1093/eurheartj/ehad318.
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