Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/9327
Title: The hepatic artery: a reminder of surgical anatomy.
Authors: Jones, Robert M;Hardy, Kenneth John
Affiliation: Victorian Liver Transplant Unit, University of Melbourne, Department of Surgery, Austin Campus, Melbourne 3084, Australia. surgery@austin.unimelb.edu.au
Issue Date: 1-Jun-2001
Citation: Journal of the Royal College of Surgeons of Edinburgh; 46(3): 168-70
Abstract: This study was carried out to document the anatomy of the hepatic artery with the purpose of reminding surgeons of the need for this essential knowledge in order to practice safe hepatobiliary surgery. Repeated surgical mistakes on patients referred to our unit prompted the study. One hundred and eighty consecutive livers procured for transplantation was studied, and the anatomy drawn immediately after dissection. The left hepatic artery arose from the left gastric artery in 15%, and either the splenic, gastroduodenal artery or the aorta in 4% of cases. The right hepatic artery arose from the superior mesenteric artery in 15%, the gastroduodenal, right gastric artery or aorta in 10% of cases. There was a major variation of the coeliac axis in 9% of cases studied. Overall, there was an abnormality in 43% of dissections: 48% were multiple and 27% had more than two vascular variations. A constant pattern of abnormalities occurred in the anatomy of the hepatic artery. Realisation of this vascular pattern should make identification of the anatomy easier. When there is one vascular variation, there is a high chance of there being multiple variations.
Internal ID Number: 11478014
URI: http://ahro.austin.org.au/austinjspui/handle/1/9327
URL: http://www.ncbi.nlm.nih.gov/pubmed/11478014
Type: Journal Article
Subjects: Adolescent
Adult
Aged
Child
Child, Preschool
Dissection
Hepatic Artery.abnormalities.anatomy & histology.surgery
Humans
Liver Transplantation
Middle Aged
Appears in Collections:Journal articles

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