A rare hepatic artery variant reporting and a new classification
Variations of the hepatic artery are very common, but they greatly increase the difficulty of surgery and the risk of complications in perihepatic surgeries such as liver transplantation, liver segmentectomy, and gastroduodenal surgery. Thus, it is important to precisely define the type of hepatic a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1003350/full |
| _version_ | 1811183071983042560 |
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| author | Xiaojing Wu Jianxiong Kang Yuwei Liu Guodong Sun Ying Shi Junqi Niu |
| author_facet | Xiaojing Wu Jianxiong Kang Yuwei Liu Guodong Sun Ying Shi Junqi Niu |
| author_sort | Xiaojing Wu |
| collection | DOAJ |
| description | Variations of the hepatic artery are very common, but they greatly increase the difficulty of surgery and the risk of complications in perihepatic surgeries such as liver transplantation, liver segmentectomy, and gastroduodenal surgery. Thus, it is important to precisely define the type of hepatic artery variant before surgery. However, there are often rare variants that cannot be defined with existing classifications. For example, the type of hepatic artery variant in the current case could not be classified with conventional classifications, and no such variation has been reported to date, involving two accessory left hepatic arteries from the common hepatic and left inferior phrenic arteries, respectively. Based on the existing 3DCT technology and the CRL classification method, which is applicable to the most common hepatic artery variants, we reviewed many rare variant types and proposed a new classification method (ex-CRL classification) for hepatic artery variations that do not fit the classic scope. The ex-CRL classification can accurately classify the vast majority of rare cases in the literature, greatly compensates for the limitations of current hepatic artery classifications, improves the generalization and understanding of rare cases, and reduces surgical complications. |
| first_indexed | 2024-04-11T09:41:41Z |
| format | Article |
| id | doaj.art-0e780cc9fe9f4adbb87ee27f48f2f18e |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-11T09:41:41Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-0e780cc9fe9f4adbb87ee27f48f2f18e2022-12-22T04:31:11ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-08-01910.3389/fsurg.2022.10033501003350A rare hepatic artery variant reporting and a new classificationXiaojing Wu0Jianxiong Kang1Yuwei Liu2Guodong Sun3Ying Shi4Junqi Niu5Department of Hepatology, First Bethune Hospital of Jilin University, Changchun, ChinaGeneral Laboratory of Human Anatomy, Changzhi Medical College, Changzhi, ChinaDepartment of Hepatology, First Bethune Hospital of Jilin University, Changchun, ChinaGeneral Laboratory of Human Anatomy, Changzhi Medical College, Changzhi, ChinaDepartment of Hepatology, First Bethune Hospital of Jilin University, Changchun, ChinaDepartment of Hepatology, First Bethune Hospital of Jilin University, Changchun, ChinaVariations of the hepatic artery are very common, but they greatly increase the difficulty of surgery and the risk of complications in perihepatic surgeries such as liver transplantation, liver segmentectomy, and gastroduodenal surgery. Thus, it is important to precisely define the type of hepatic artery variant before surgery. However, there are often rare variants that cannot be defined with existing classifications. For example, the type of hepatic artery variant in the current case could not be classified with conventional classifications, and no such variation has been reported to date, involving two accessory left hepatic arteries from the common hepatic and left inferior phrenic arteries, respectively. Based on the existing 3DCT technology and the CRL classification method, which is applicable to the most common hepatic artery variants, we reviewed many rare variant types and proposed a new classification method (ex-CRL classification) for hepatic artery variations that do not fit the classic scope. The ex-CRL classification can accurately classify the vast majority of rare cases in the literature, greatly compensates for the limitations of current hepatic artery classifications, improves the generalization and understanding of rare cases, and reduces surgical complications.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1003350/fullaccessory hepatic arteryvascular variantsphrenic arteryclassificationcase report |
| spellingShingle | Xiaojing Wu Jianxiong Kang Yuwei Liu Guodong Sun Ying Shi Junqi Niu A rare hepatic artery variant reporting and a new classification Frontiers in Surgery accessory hepatic artery vascular variants phrenic artery classification case report |
| title | A rare hepatic artery variant reporting and a new classification |
| title_full | A rare hepatic artery variant reporting and a new classification |
| title_fullStr | A rare hepatic artery variant reporting and a new classification |
| title_full_unstemmed | A rare hepatic artery variant reporting and a new classification |
| title_short | A rare hepatic artery variant reporting and a new classification |
| title_sort | rare hepatic artery variant reporting and a new classification |
| topic | accessory hepatic artery vascular variants phrenic artery classification case report |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1003350/full |
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