Objectives: Celiac Trunk (CT) is a vital artery and the first unmatched branch of the abdominal aorta, providing blood to upper abdominal structures, particularly the liver, stomach, and spleen. It is essential to know its anatomy in terms of pancreas, spleen, gallbladder, liver surgeries, and interventional radiological procedures such as chemoembolization. The aim of our study is to contribute to the literature with the measurements of distances between the diaphragmatic crus and vascular structures with their diameters, which have been studied insufficiently, and to detect the possible relationships between vascular variations and collateral branches. Methods: Imaging findings of 200 patients (114 males and 86 females), who underwent Multi-Section Computed Tomography examination with various indications in our center between June 2016 and July 2020, were retrospectively analyzed. The statistical relations between CT and Hepatic Artery variations, collateral formations, age, and gender were evaluated with the Spearman’s Rho Correlation Coefficient Test. Results: The distance between the crus of diaphragm and CT was 4–60 mm (mean 24.3 mm), the distance between CT and superior mesenteric artery (SMA) was 2.5–35 mm (mean 8.6 mm), CT diameter was 4.6–9.4 mm (mean 7.3 mm), and the main hepatic artery diameter was 2.4–5.8 mm (mean 4.1 mm). There was no correlation in our study between CT, Hepatic Artery variations, and their collaterals (r in range of −20,124–0.116, p>0.05). It can be said that in cases of the single accessory left hepatic artery originating from the left gastric artery, such as Michel’s Type V and Type VIII, collaterals between common hepatic artery and SMA were relatively more frequent (p=0.1). Conclusion: Our study contributed to the literature by measuring the distance between diaphragmatic crus-vascular structures, which has been little studied in the past. Frequencies of CT and Hepatic Artery variations that have been detected in our study are similar to the results of the previous studies with non-malignancy patient groups.
Purpose: Trunk is the first non-combined branch of the abdominal aortus, providing blood to the upper abdominal structures, primarily the liver, stomach and cavity. It is important to know the variant anatomics before initiative radiological processes such as pancreas, wheat, gallbladder, liver surgery and chemembolization. The aim of our study is to measure the distances between the not sufficiently studied diyarragmatic cross and vascular structures and to identify the possible relationships between vascular variations and collateral branches. Method: Between June 2016 and July 2020, in our center, the screenshots of 200 patients with colorectal cancer (114 men, 86 women) with a multi-cutting computer tomography examination were retrospective examined. Trunk, hepatic artery variations, collateral formations, age, gender relationships were assessed by Spearman's Rho test. The findings: the distance between the diyaframe crose and the thyroid trunk was measured 4-60 mm (medium 24.3 mm), the distance between the thyroid trunk and the superior mesenteric artery (SMA) was measured 2.5-35 mm (medium 8.6 mm), the thyroid trunk diameter was measured 4.6-9.4 mm (medium 7.3 mm) and the main hepatic artery (CHA) diameter was measured 2.4-5.8 mm (medium 4.1 mm). In our study, it is a statistically meaningful correlation between the trunk, hepatic artery variations and collateral arteries (r -0,124 - 0,116, p> 0. The only accessory out of the left gastrointestinal artery, such as Michel's type V and type VIII, may be said that the collaterals between CHA and SMA are relatively more frequent in left hepatic artery cases (p = 0.1). The result: Our study has contributed to literature by identifying the distances between diyarragmatic cross-vascular structures that have been very little studied in the past. The frequency of the variations of the Trunk and Hepatic Arter that we have detected in our study is similar to the results of previous studies conducted with non-malignant patients groups. (SETB-2021-03-074)
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
Benzer Makaleler | Yazar | # |
---|
Makale | Yazar | # |
---|