Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1994 Jul;220(1):50–52. doi: 10.1097/00000658-199407000-00008

Surgical anatomy of the hepatic arteries in 1000 cases.

J R Hiatt 1, J Gabbay 1, R W Busuttil 1
PMCID: PMC1234286  PMID: 8024358

Abstract

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.

Full text

PDF
50

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Braun M. A., Collins M. B., Wright P. An aberrant right hepatic artery from the right renal artery: anatomical vignette. Cardiovasc Intervent Radiol. 1991 Nov-Dec;14(6):349–351. doi: 10.1007/BF02577895. [DOI] [PubMed] [Google Scholar]
  2. Brems J. J., Millis J. M., Hiatt J. R., Klein A. S., Quinones-Baldrich W. J., Ramming K. P., Busuttil R. W. Hepatic artery reconstruction during liver transplantation. Transplantation. 1989 Feb;47(2):403–406. [PubMed] [Google Scholar]
  3. Daly J. M., Kemeny N., Oderman P., Botet J. Long-term hepatic arterial infusion chemotherapy. Anatomic considerations, operative technique, and treatment morbidity. Arch Surg. 1984 Aug;119(8):936–941. doi: 10.1001/archsurg.1984.01390200054013. [DOI] [PubMed] [Google Scholar]
  4. Kemeny M. M., Hogan J. M., Goldberg D. A., Lieu C., Beatty J. D., Kokal W. A., Riihimaki D. U., Terz J. J. Continuous hepatic artery infusion with an implantable pump: problems with hepatic artery anomalies. Surgery. 1986 Apr;99(4):501–504. [PubMed] [Google Scholar]
  5. Michels N. A. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 1966 Sep;112(3):337–347. doi: 10.1016/0002-9610(66)90201-7. [DOI] [PubMed] [Google Scholar]
  6. Niederhuber J. E., Ensminger W. D. Surgical considerations in the management of hepatic neoplasia. Semin Oncol. 1983 Jun;10(2):135–147. [PubMed] [Google Scholar]
  7. Price P., Holden C. Anatomic variance in the cholecystic blood supply: a case report. Am Surg. 1993 May;59(5):278–280. [PubMed] [Google Scholar]
  8. Rong G. H., Sindelar W. F. Aberrant peripancreatic arterial anatomy. Considerations in performing pancreatectomy for malignant neoplasms. Am Surg. 1987 Dec;53(12):726–729. [PubMed] [Google Scholar]
  9. Rygaard H., Forrest M., Mygind T., Baden H. Anatomic variants of the hepatic arteries. Acta Radiol Diagn (Stockh) 1986 Jul-Aug;27(4):425–427. doi: 10.1177/028418518602700411. [DOI] [PubMed] [Google Scholar]
  10. Scott-Conner C. E., Hall T. J. Variant arterial anatomy in laparoscopic cholecystectomy. Am J Surg. 1992 Jun;163(6):590–592. doi: 10.1016/0002-9610(92)90563-7. [DOI] [PubMed] [Google Scholar]
  11. Todo S., Makowka L., Tzakis A. G., Marsh J. W., Jr, Karrer F. M., Armany M., Miller C., Tallent M. B., Esquivel C. O., Gordon R. D. Hepatic artery in liver transplantation. Transplant Proc. 1987 Feb;19(1 Pt 3):2406–2411. [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES