Price P, Holden C
Department of Surgery, Mount Carmel Medical Center, Columbus, Ohio 43222.
Am Surg. 1993 May;59(5):278-80.
The cystic artery is known to arise from many possible origins; with the right hepatic artery is the most common. Other origins of the cystic artery include the left hepatic artery, the common hepatic artery, and the superior mesenteric artery. In addition to the variability in origin of the cystic artery, its course can also follow diverse paths, often in close proximity to the common bile duct. This report presents a rare and, to our knowledge, previously unreported deviation of the cystic artery's origin and course that was encountered during cholecystectomy. This rare variant emphasizes the importance of a thorough knowledge of cystic arterial variations that often occur and may be encountered during both open and laparoscopic cholecystectomy.
已知胆囊动脉有多种可能的起源;最常见的是起自肝右动脉。胆囊动脉的其他起源包括肝左动脉、肝总动脉和肠系膜上动脉。除了起源多变外,其走行也可能有多种路径,常紧邻胆总管。本报告介绍了在胆囊切除术中遇到的一种罕见的、据我们所知此前未报告过的胆囊动脉起源和走行变异。这种罕见变异强调了全面了解胆囊动脉变异的重要性,在开放和腹腔镜胆囊切除术中都可能经常出现并遇到这些变异。