Simultaneous presence of the hepato-spleno-mesenteric trunk, a common trunk for both inferior phrenic arteries, the left gastric artery, and a common hepatic artery that ran behind the portal vein in a patient with gastric cancer

Shibamoto, Misako; Yamada, Tatsuya; Ehara, Kazuhisa; Takechi, Hitomi; Kawakami, Hideyuki; Ito, Yuzuru; Kawashima, Yasunaru

doi:10.1007/s12328-022-01618-4

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…The hepatosplenic trunk, gastrophrenic trunk, splenic hypoplasia and auxiliary spleen were described by Yi et al, 20 whereas Shibamoto et al reported the concurrent existence of the LGA and CHA that courses retroportally called the hepatosplenomesenteric trunk and for both IPAs a common trunk in cancer stomach patient. 21 The LGA and right IPA arose from a common gastrophrenic trunk as a branch of AA. 22 This study results also demonstrated the same findings in 2 % of specimens.…”

Section: Discussionmentioning

confidence: 99%

Left gastric artery variants: A cadaveric, postmortem and radiological investigation

Ande,

Makani,

Nannam

et al. 2023

Scripta Medica

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Background/Aim: Anatomical variations of the gastric vessels during laparoscopic surgeries of the stomach and related viscera frequently impair the surgeon's judgment, extend the duration of surgery and sometimes can lead to accidental surgical injuries, rendering it not possible to assure the safety and effectiveness of the surgical treatment. This research paper aimed to examine the variations of the left gastric artery (LGA), which could have implications for surgical and interventional procedures of the gastrointestinal tract (GIT) and related organs. Methods: Fifty specimens, of which 22 were dissected from cadavers and 28 were acquired from post-mortems among the Indian population, regardless of age or sex were examined for variant LGA. In addition, the variation of the celiac trunk was observed in 10 patients using 3D-CT images, which were created by reconstructing multiple-slice computed tomography (CT) using 3-dimensional CT simulation software (3D-CT). Results: The classical pattern origin of LGA from the celiac trunk was observed in 96 % specimens. In 2 % gastrophrenic trunk emerged from the abdominal aorta (AA) slightly proximal to the celiac trunk, then it branched into LGA and left and right inferior phrenic arteries. In remaining 2 %, LGA was the branch of the splenic artery. In 10 individuals radiological examination was conducted and found no abnormal pattern of celiac trunk. Conclusion: Observing and reporting the variation in the gastric vessels by different methods has certain clinical value in upper gastrointestinal surgeries and interventions. The duration can be prolonged and the intraoperative blood loss is increased with the vascular variations. Overall, this research paper provides important information on the prevalence of anatomical variations of the LGA, which could help improve the safety and efficacy of upper gastrointestinal procedures.

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Section: Discussionmentioning

confidence: 99%

Left gastric artery variants: A cadaveric, postmortem and radiological investigation

Ande,

Makani,

Nannam

et al. 2023

Scripta Medica

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“…3,4 The second is to safely dissect the portal vein and use this as a guide for the extent of suprapancreatic lymph node dissection. 5,6 The third is to identify the recently recognized nerves at the suprapancreatic margin or in front of the portal vein. [7][8][9] Preserving and dissecting these nerves can more safely expose the portal vein.…”

Section: Introductionmentioning

confidence: 99%

“…The first is to identify any abnormalities in vascular bifurcation preoperatively using multi‐detector computed tomography (MDCT) and three‐dimensional computed tomography angiography (3D‐CTA) 3,4 . The second is to safely dissect the portal vein and use this as a guide for the extent of suprapancreatic lymph node dissection 5,6 . The third is to identify the recently recognized nerves at the suprapancreatic margin or in front of the portal vein 7–9 .…”

Section: Introductionmentioning

confidence: 99%

Safe suprapancreatic lymph node dissection for gastric cancer with ectopic common hepatic artery

Toyota,

Ishida,

Mori

et al. 2024

Asian J Endoscop Surgery

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Suprapancreatic lymph node dissection for patients with gastric cancer in whom the common hepatic artery is located neither at the suprapancreatic margin nor in front of the portal vein is a more difficult procedure than when the common hepatic artery is in a more typical position. There is an increased risk of injury to the vessels that need to be preserved and inadequate lymph node dissection. Measures that have been reported for use in this situation are preoperative diagnosis with three‐dimensional computed tomography angiography, dissection using the portal vain as a guide, and safe exposure of the portal vein with dissection to preserve the nerves at the suprapancreatic margin and in front of the portal vein. We review the literature and report our experience with a patient whose common hepatic artery was not located in the suprapancreatic margin who safely underwent suprapancreatic lymph node dissection using these methods.

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Simultaneous presence of the hepato-spleno-mesenteric trunk, a common trunk for both inferior phrenic arteries, the left gastric artery, and a common hepatic artery that ran behind the portal vein in a patient with gastric cancer

Cited by 2 publications

References 13 publications

Left gastric artery variants: A cadaveric, postmortem and radiological investigation

Left gastric artery variants: A cadaveric, postmortem and radiological investigation

Safe suprapancreatic lymph node dissection for gastric cancer with ectopic common hepatic artery

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