OBJECTIVE: Anatomic variations in the hepatic arteries were studied in donor livers that were used for orthotopic transplantation. SUMMARY BACKGROUND DATA: Variations 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. METHODS: Records of 1000 patients who underwent liver harvesting for orthotopic transplantation between 1984 and 1993 were reviewed. RESULTS: Arterial 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. CONCLUSIONS: These data are useful for the planning and conduct of surgical and radiological procedures of the upper abdomen, including laparoscopic operations of the biliary tract.
OBJECTIVE: Anatomic variations in the hepatic arteries were studied in donor livers that were used for orthotopic transplantation. SUMMARY BACKGROUND DATA: Variations 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. METHODS: Records of 1000 patients who underwent liver harvesting for orthotopic transplantation between 1984 and 1993 were reviewed. RESULTS: Arterial 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. CONCLUSIONS: These data are useful for the planning and conduct of surgical and radiological procedures of the upper abdomen, including laparoscopic operations of the biliary tract.
Authors: J J Brems; J M Millis; J R Hiatt; A S Klein; W J Quinones-Baldrich; K P Ramming; R W Busuttil Journal: Transplantation Date: 1989-02 Impact factor: 4.939
Authors: S Todo; L Makowka; A G Tzakis; J W Marsh; F M Karrer; M Armany; C Miller; M B Tallent; C O Esquivel; R D Gordon Journal: Transplant Proc Date: 1987-02 Impact factor: 1.066
Authors: M M Kemeny; J M Hogan; D A Goldberg; C Lieu; J D Beatty; W A Kokal; D U Riihimaki; J J Terz Journal: Surgery Date: 1986-04 Impact factor: 3.982
Authors: S Takiguchi; M Sekimoto; Y Fujiwara; T Yasuda; M Yano; M Hori; T Murakami; H Nakamura; M Monden Journal: Surg Endosc Date: 2003-11-21 Impact factor: 4.584
Authors: I Marco-Clement; A Martinez-Barco; N Ahumada; C Simon; J M Valderrama; J Sanudo; J Arrazola Journal: Surg Radiol Anat Date: 2015-08-13 Impact factor: 1.246