A Descriptive Study on Anatomical Variations in Coeliac Trunk and Its Branches

S. Sawant, S. Kolekar, N. Harichandana
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Abstract

The present study aims to describe the anatomical variations in Coeliac Trunk and Its Branches. At the level of the lower border of the twelfth thoracic vertebra, the coeliac trunk is the first anterior branch of the abdominal aorta. The three primary traditional branches of the celiac trunk are the hepatic, splenic, and left gastric arteries. The variations of the coeliac trunk are common but asymptomatic; they may become important during surgeries and in some radiological procedures. During routine dissection on adult cadavers in Anatomy department, we found some variations in the branching pattern of the coeliac trunk. The first branch of the coeliac trunk is the left gastric artery, which then divides into the splenic and hepatic arteries. The left hepatic artery is considered as the origin of the right gastric artery. In addition, one right aberrant hepatic artery is visible entering the right lobe of the liver from the superior mesenteric artery. Left inferior phrenic artery and dorsal pancreatic artery are found originating from the coeliac trunk. Left gastric artery normally originates from the coeliac trunk, but in our study it is arising directly from the abdominal aorta. Knowledge of the variations is very useful in surgical, oncologic or interventional procedures and should be kept in mind to avoid complications. Complications in abdominal surgeries can be avoided with an accurate knowledge of the anatomical variations of the coeliac trunk.
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腹腔干及其分支解剖变异的描述性研究
本研究旨在描述腹腔干及其分支的解剖学变异。在第十二节胸椎下缘处,腹腔干是腹主动脉的第一前支。腹腔干的三个主要传统分支是肝动脉、脾动脉和胃左动脉。腹腔干的变化是常见的,但无症状;它们在外科手术和一些放射治疗过程中可能变得很重要。在解剖科对成人尸体的常规解剖中,我们发现腹腔干的分支形态发生了一些变化。腹腔干的第一个分支是胃左动脉,它又分为脾动脉和肝动脉。肝左动脉被认为是胃右动脉的起源。此外,可见一条右异常肝动脉从肠系膜上动脉进入肝脏右叶。左膈下动脉和胰背动脉发源于腹腔干。胃左动脉通常起源于腹腔干,但在我们的研究中,它直接起源于腹主动脉。了解这些变化在外科、肿瘤或介入性手术中非常有用,应牢记在心以避免并发症。通过对腹腔干解剖变化的准确了解,可以避免腹部手术的并发症。
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