Kosin Medical Journal (고신대학교 의과대학 학술지)

Kosin University College of Medicine (고신대학교 의과대학)
권호 표지
DOI QR코드

DOI QR Code

Common Hepatic Artery Originating from Left Gastric Artery: A Rare Variant Encountered in Gastric Cancer Surgery

  • Choi, Chang In (Gastrointestinal Division, Department of Surgery, Pusan National University Hospital) ;
  • Jeon, Tae Yong (Gastrointestinal Division, Department of Surgery, Pusan National University Hospital)
  • Received : 2017.09.29
  • Accepted : 2017.11.20
  • Published : 2018.12.31
⟨ Previous Next ⟩

Abstract

The hepatic artery can have numerous variations. However, a common hepatic artery originating from the left gastric artery and the entire hepatic blood supply furnished by the left gastric artery is an extremely rare anomaly. We encountered this anomaly in a patient with advanced gastric cancer. A surgeon should recognize this image appearance and identify the anomaly. Without knowledge of this anomaly and given the strategy for extensive lesser sac dissection generally employed during gastric cancer surgery, a surgeon could easily inadvertently divide this vessel, resulting in critical liver damage. We report a case of common hepatic artery originating from left gastric artery and review of the literatures.

Keywords

Acknowledgement

Supported by : Pusan National University

References

  1. Noussios G, Dimitriou I, Chatzis I, Katsourakis A. The main anatomic variations of the hepatic artery and their importance in surgical practice: review of the literature. J Clin Med Res 2017;9:248-52. https://doi.org/10.14740/jocmr2902w
  2. Uva P, Arvelakis A, Rodriguez-Laiz G, Lerner S, Emre S, Gondolesi G. Common hepatic artery arising from the left gastric artery: a rare anatomic variation identified on a cadaveric liver donor. Surg Radiol Anat 2007;29:93-5. https://doi.org/10.1007/s00276-006-0159-z
  3. Okada Y, Nishi N, Matsuo Y, Watadani T, Kimura F. The common hepatic artery arising from the left gastric artery. Surg Radiol Anat 2010;32:703-5. https://doi.org/10.1007/s00276-010-0662-0
  4. Song SY, Chung JW, Yin YH, Jae HJ, Kim HC, Jeon UB, et al. Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 2010;255:278-88. https://doi.org/10.1148/radiol.09090389
  5. Adachi B. Das Arteriensystem der Japaner. Vol 2. verlag der Kaiserlich-Japanishen Universitat zu Kyoto 1928;20-46.
  6. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 1966;112:337-47. https://doi.org/10.1016/0002-9610(66)90201-7
  7. Okano S, Sawai K, Taniguchi H, Takahashi T. Aberrant left hepatic artery arising from the left gastric artery and liver function after radical gastrectomy for gastric cancer. World J Surg 1993;17:70-3. https://doi.org/10.1007/BF01655708
  8. Thangarijah A, Parthasarathy R. Celiac Axis, common hepatic and hepatic artery variants as evidenced on MDCT angiography in Sourth Indian population. J Clin Diagn Res 2016;10:1-5. https://doi.org/10.1111/crj.12367