Anatomic variation of the celiac trunk with special reference to hepatic artery patterns

Chen, Huayue; Yano, Ryuichiro; Emura, S.; Shoumura, Shízuko

doi:10.1016/j.aanat.2009.05.002

Cited by 107 publications

(122 citation statements)

References 29 publications

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“…A common hepatic artery (CHA) arising from the superior mesenteric artery (SMA) or directly from the aorta was present in 3.5 % [6]. We found such two (5 %) cases out of 40 cadaveric cases which show statistically significant difference at 5 % level of significance.…”

Section: Measurement Of the Celiac Trunk Diametermentioning

confidence: 83%

“…In the other cases, the liver shows tongue-like projections and the common hepatic artery arises from the superior mesenteric artery. A common hepatic artery (CHA) arising from the superior mesenteric artery (SMA) or directly from the aorta was present in 3.5 % [6]. During the hepatobiliary operation, the main complication encountered is hemorrhage in 2.3 % of cases mainly from the cystic or hepatic artery.…”

Section: Measurement Of the Celiac Trunk Diametermentioning

confidence: 99%

“…The anatomy of the hepatic artery, and its variants, has been described adequately in the literature starting with Haller in 1756 (celiac axis variations), Tidemann in 1822 (multiple anomalies), Adachi in 1928 (28 subgroups), and classic analyses by Flint (1923) and by Michels (1955) [2][3][4][5]. A new emphasis was given to this anatomy by the introduction of liver transplantation [6]. The arterial patterns are of importance in planning and performance of all surgical and radiological procedures in the upper abdomen.…”

Section: Introductionmentioning

confidence: 99%

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Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

Singh¹,

Bhatt²,

Patel

et al. 2012

Indian J Surg

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The aim of this study was to analyze anatomy of the celiac trunk through its diameter, length, and variation of its branches. We studied 40 cadavers (25 males and 15 females) in the various colleges in the west India for the variation in the celiac trunk. Dissection of the celiac trunk was performed after opening of the peritoneal cavity. The length of the celiac trunk up to the common hepatic artery was observed. Diameter of the celiac trunk and distance between the celiac trunk and the superior mesenteric artery were observed. We found cases of rare vascular variation in the branching pattern and the common hepatic artery, which arises from the superior mesenteric artery and there is abnormal relation between the common hepatic artery portal vein and the bile duct. In a case we have observed that the superior mesenteric artery gives acute angulations downward on the right side. This type of study of celiac trunk and presence of variation in hepatic arteries will allow the surgeon to practice safe laparoscopic cholecystectomy, liver resections, or vascular recombination in transplantation and, thereby, avoid errors and patient morbidity.

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Section: Measurement Of the Celiac Trunk Diametermentioning

confidence: 83%

Section: Measurement Of the Celiac Trunk Diametermentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

Singh¹,

Bhatt²,

Patel

et al. 2012

Indian J Surg

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“…The accessory hepatic artery (aHA) is referred to as an arterial vessel that supplies hepatic lobule in addition to the normal supply; whereas, the replaced hepatic artery means an artery that does not originate from an orthodox position and is the only supply to a particular hepatic lobule (Standring et al, 2008). An accessory or replaced right hepatic artery is commonly reported to branch from the superior mesenteric artery, despite an accessory or replaced left hepatic arteries is often originated from the left gastric artery (Michels, 1966;Standring et al;Chen et al, 2009). In rare cases, these variant arteries emerge from gastroduodenal artery, the celiac trunk, or the abdominal aorta (Michels; Standring et al).…”

Section: Introductionmentioning

confidence: 99%

Accessory Hepatic Artery Arising from Celiac Trunk: An Incidence in a Thai Cadaver

et al. 2014

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SUMMARY: An exhaustive knowledge of the liver vascular patterns as well as possible anatomical variations is significant in the planning and performance of all liver surgical procedures in order for the vascularity not to be disturbed or not causing necrosis of the liver parenchyma postoperatively. The celiac trunk usually provides three branches; left gastric, splenic and common hepatic arteries. The left and right hepatic arteries generally derive from proper hepatic artery which is a branch of common hepatic artery. To study the incidence of celiac trunk ramification, the branching patterns of the celiac trunk of 23 Thai cadavers (17 males, 6 females) were documented during routine dissection by medical students at the Department of Anatomy, Faculty of Medical Science, Naresuan University, Thailand. The clinically important variations of the celiac trunk were noted. The results showed that all celiac trunks arose from each aortas at the T12 vertebra (17.39%, 4 cases), intervertebral disc between T12 and L1 vertebra (78.26%, 18 cases) and upper 1/3 rd of L1 vertebra (4.35%, 1 case). We found 95.65% (22 cases) normal celiac trunk trifurcation; whereas, 4.35% (1 case) was abnormal quadrifurcation of the trunk. The accessory hepatic artery (aHA) was presented as an additional branch of celiac trunk because the conventional pattern of the left and right hepatic arteries was presented. This finding is one of the rare anatomical variations which is reported in available literatures. The awareness of celiac trunk and its stems aberrant is important in procedures such as liver transplant for appropriate vascular ligation and anastomosis.

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“…Due to the high clinical significance of these branches many studies have documented the arterial variations of the major unpaired arteries that originate from the aorta. Some studies offer classifications with the types and frequency of these variations, in an effort to illustrate the extensive variety [1,3,[5][6][7][8]14]. In a review of the literature, on 2141 cadavers, 87.6% of coeliac trunks had the classical trifurcation, 12.2% presented an incomplete bifurcated coeliac trunk and in 0.2% was absent [14].…”

Section: Introductionmentioning

confidence: 99%

Ring-shaped variation of the coeliac trunk branches

et al. 2015

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Anatomic variation of the celiac trunk with special reference to hepatic artery patterns

Cited by 107 publications

References 29 publications

Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

Morphometric Study of Coeliac Trunk Specific Reference to Hepatic Artery Pattern in the West-Indian Population

Accessory Hepatic Artery Arising from Celiac Trunk: An Incidence in a Thai Cadaver

Ring-shaped variation of the coeliac trunk branches

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