[Variation and research progress of celiac trunk branch]
Tao Bao1, Han Liang, Jingyu Deng
1Department of Gastric Cancer, Tianjin Cancer Hospital, Key Laboratory of Cancer Prevention and Treatment of Tianjin City, Tianjin Medical University, Tianjing 300060, China. tjlianghan@126.com.
Summary
The celiac trunk, a key artery supplying upper abdominal organs, exhibits numerous variations in its branching patterns. Understanding these anatomical variations is crucial for safe and effective upper abdominal surgeries.
Area of Science:
- Anatomy
- Vascular Anatomy
- Surgical Anatomy
Context:
- The celiac trunk is a major ventral branch of the abdominal aorta, originating at the L1 vertebral level.
- It typically trifurcates into the left gastric, common hepatic, and splenic arteries.
- These arteries supply vital upper abdominal organs including the stomach, liver, spleen, pancreas, and duodenum.
Purpose:
- To establish a comprehensive classification system for celiac trunk branching variations.
- To document diverse anatomical presentations beyond the typical trifurcation.
- To provide a framework for understanding developmental origins of these variations based on existing literature.
Summary:
- This study details various types of celiac trunk branching anomalies, including hepatogastrosplenic, hepatosplenic, hepatogastric, and gastrosplenic trunks, among others.
- A detailed classification is presented, encompassing variations like hepatosplenomesenteric and hepatogastrosplenocolonic trunk types.
- The development of these variations is discussed in relation to established classifications by Lipshutz, Adachi, Michels, and Zhang Nianjia.
Impact:
- Accurate knowledge of celiac trunk variations is essential for surgeons.
- Improved understanding facilitates safer and more effective performance of upper abdominal surgical procedures.
- This classification aids in pre-operative planning and intra-operative decision-making.
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