AI Article Synopsis

  • Understanding anatomical variations of the celiac artery is crucial for performing safe gastrectomies, especially in patients with gastric cancer.
  • A case involving a 45-year-old woman with early gastric cancer revealed an unusual branching of the gastroduodenal artery from the celiac artery, which was confirmed through preoperative CT scans.
  • This case is unique as it highlights a previously unclassified anatomical anomaly of the celiac artery related to laparoscopic distal gastrectomy, with the surgery proceeding without complications.

Article Abstract

Understanding anatomical anomalies of the branch of the celiac artery for safe gastrectomy is important. We report a case of laparoscopic distal gastrectomy with D1+ lymph node dissection for early gastric cancer with a vascular anatomical anomaly of the celiac artery. A 45-year-old woman was referred to our hospital because of early gastric cancer. Computed tomography showed an anatomical variation of the gastroduodenal artery, which branched from the celiac artery. The celiac artery also branched into the left gastric artery, the splenic artery, and the common hepatic artery. Preoperative understanding of an unusual branch of the celiac artery enabled a safe laparoscopic surgery. There were no postoperative complications. The Adachi classification or Michel classification is used for an anatomical anomaly of the celiac artery, but to the best of our knowledge, this case has not been previously classified and is the first reported case.

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Source
http://dx.doi.org/10.1111/ases.13268DOI Listing

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