SURGICAL ANATOMY OF THE HEPATIC ARTERIES IN 1000 CASES
SURGICAL ANATOMY OF THE HEPATIC ARTERIES IN 1000 CASES
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DOI：
10.1097/00000658-199407000-00008
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发表时间：
1994-07-01
影响因子：
9
通讯作者：
BUSUTTIL, RW
中科院分区：
文献类型：
--
作者：
HIATT, JR;GABBAY, J;BUSUTTIL, RW
在原位移植的供肝中研究了肝动脉的解剖变异。背景资料变异发生在25%到75%的病例中。供体肝脏是一个合适的研究模型，因为必须精确定义肝外动脉解剖结构，以确保移植时移植物的完全动脉化。方法回顾性分析1984 ~ 1993年1000例原位肝移植患者的临床资料。结果肝动脉类型为正常1型（757例），肝总动脉起源于腹腔干，形成胃十二指肠动脉和肝固有动脉，肝固有动脉远端分为左、右支;肝右动脉起源于上级肠系膜动脉106例，肝左动脉起源于胃左动脉97例，肝右动脉起源于上级肠系膜动脉23例，肝左动脉起源于胃左动脉97例，肝右动脉起源于胃左动脉23例。5型（n = 15），与整个肝总动脉产生的上级肠系膜的分支;和6型（n = 2），与肝总动脉直接起源于aortic.ConclusionsThese数据是有用的规划和进行上腹部的手术和放射性程序，包括胆道腹腔镜手术。
ObjectiveAnatomic variations in the hepatic arteries were studied in donor livers that were used for orthotopic transplantation.Summary Background DataVariations have occurred in 25% to 75% of cases. Donor livers represent an appropriate model for study because extrahepatic arterial anatomy must be defined precisely to ensure complete arterialization of the graft at time of transplantation..MethodsRecords of 1000 patients who underwent liver harvesting for orthotopic transplantation between 1984 and 1993 were reviewed.ResultsArterial patterns in order of frequency included the normal Type 1 anatomy (n = 757), with the common hepatic artery arising from the celiac axis to form the gastroduodenal and proper hepatic arteries and the proper hepatic dividing distally into right and left branches; Type 3 (n = 106), with a replaced or accessory right hepatic artery originating from the superior mesenteric artery; Type 2 (n = 97), with a replaced or accessory left hepatic artery arising from the left gastric artery; Type 4 (n = 23), with both right and left hepatic arteries arising from the superior mesenteric and left gastric arteries, respectively; Type 5 (n = 15), with the entire common hepatic artery arising as a branch of the superior mesenteric; and Type 6 (n = 2), with the common hepatic artery originating directly from the aorta.ConclusionsThese data are useful for the planning and conduct of surgical and radiological procedures of the upper abdomen, including laparoscopic operations of the biliary tract.