Celiac Trunk - Crossref

Rare variation: the absence of both the celiac trunk artery and the common hepatic artery

Methods A 58-year-old woman was admitted to our department for surgical treatment of gastric cancer after undergoing gastroduodenoscopy and gastric antrum biopsy. We discovered an absence of both the celiac trunk artery and the common hepatic artery in the contrast-enhanced computed tomography study. Computerized 3D vascular reconstruction showed unusual vascular anomaly, including the absence of both CA and CHA. The abdominal artery and gastroduodenal artery are derived from the abdominal aorta. The left gastric artery in the AA was directly above the SA and the GDA junction. The left hepatic artery supplies the left hepatic artery. The right hepatic artery developed from the superior mesenteric artery. Conclusion The identification of abnormal abdominal large blood vessels and their association with tumors before surgery is of utmost importance in avoiding intraoperative blood vessel damage, major postoperative complications, and the absence of lymph node dissection.

Source link: https://doi.org/10.21203/rs.3.rs-2069817/v1

Stenosis of the celiac trunk is associated with anastomotic leak after Ivor–Lewis esophagectomy

SuMMARY Transthoracic esophagectomy with gastric tube construction is the surgical treatment of choice for esophageal cancer. The association of celiac trunk stenosis with postoperative anastomotic leak is investigated by this prospective observational research. One hundred fifty-four patients with esophageal cancer were scheduled for Ivoru2013Lewis esophagectomy. The overall incidence of TC stenosis was 39. 9%. In 15 patients, an anastomotic leak was identified. In patients with stenosis, the incidence of anastomotic leak in patients with stenosis was 19. 4% compared to 2. 3% in patients without stenosis. In patients without leak, 86. 7% and 39. 8% were on average, with stenosis in patients with leaks at 38. 7% and significantly higher than 38. 8%. Patients with and without leak showed a substantial difference in median stenosis in patients with and without leakage. TC stenosis was an independent risk factor for an astomotic leak in the multivariable model. Following Ivoru2013Lewis esophagectomy, TC stenosis has been traced to postoperative anastomotic leak.

Source link: https://doi.org/10.1093/dote/doy107

Peculiarities of Extra-Organic Variant Anatomy of the Celiac Trunk and Hepatic Artery in Patients with Liver Cancer

According to direct angiography and MSCTA results in 112 patients with primary liver cancer, we reviewed the most common branches of the celiac trunk and anatomy of the hepatic artery. According to N. Michels, the most frequent error was the removal of the replacement right hepatic artery from the superior mesenteric artery u2014 type 3. Two unusual celiac trunk and hepatic anatomy variations have been presented: the first of which contains a 22 cm long trunk protruding from the superior mesenteric artery, while the second describes a complete absence of the celiac trunk, with all its components derived separately from the abdominal aorta. In 60 percent of cases, the most common abnormality being the Michels type 3, which was found in 14. 2 percent of patients, and type 2 in 9. 8 percent of patients.

Source link: https://doi.org/10.24060/2076-3093-2018-8-2-19-26

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