Ali Kağan COŞKUN, Taner YİĞİT, Ulvi MERAL, Öner MENTEŞ, Orhan KOZAK, Yusuf PEKER

Laparoskopik kolesistektomi esnasında saptanan sağ hepatik arter varyasyonu

Günümüzde karaciğerin vasküler yapısı ve muhtemel varyasyonları bilinmektedir. Ancak cerrahi prosedür esnasında karşılaşılan bu varyasyonlar cerrah için kimi zaman problem oluşturmaktadır. Burada kolelitiazis nedeniyle laparoskopik kolesistektomi uygulanan hastada karşılaştığımız sağ hepatik arter varyasyonunu sunduk. Sık yapılan ameliyatlarda bile operasyon esnasında karşılaşılan anatomik varyasyonların komplikasyon riskini arttırabileceği göz önünde bulundurulmalıdır.

Anahtar Kelimeler:

Kolesistektomi; sağ hepatik arter; varyasyon.

Incidentally detected variation of right hepatic artery during laparoscopic cholecyctectomy

Vascular structures of liver and possible variations are known at the present day. However, during the surgical procedure, these variations can cause problems for the surgeons. We presented a variation of right hepatic artery which was detected incidentally at the operation of laparoscopic cholecyctectomy for cholelitiasis. There is a risk of complications because of anatomic variations which are detected at the common operations. Therefore, these situations should be kept in mind.

Keywords:

Cholecystectomy; right hepatic artery; variation.,

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1. Himal HS. Minimally invasive (laparoscopic) surgery. Surg Endosc 2002;8(12):1647-52.
2. Fletcher DR, Hobbs MS, Tan P, Valinsky LJ, Hockey RL, Pikora TJ, et al. Complications of cholecystectomy: risks of the laparoscopic approach and protective effects of operative cholangiography: a population-based study. Ann Surg 1999;229(4):449-57.
3. D’Angelica M, Fong Y. The liver. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston textbook of surgery. 18th ed. Philadelphia: Saunders, 2008;1463-1523.
4. Coşkun M, Kayahan EM, Ozbek O, Cakir B, Dalgiç A, Haberal M. Imaging of hepaticarterial anatomy for depicting vascular variations in living related liver transplant donor candidates with multidetector computed tomography: comparison with conventional angiography. Transplant Proc 2005;37(2):1070-3.
5. Abdullah SS, Mabrut JY, Garbit V, De La Roche E, Olagne E, Rode A, et al. Anatomical variations of the hepatic artery: study of 932 cases in liver transplantation. Surg Radio Anat 2006;28(5):468-73.
6. Siewert JR, Feussner H, Scherer MA, Brune IB. Errors and danger in laparoscopic cholecystectomy. Chirurg 1993;64(4):221-29.
7. Shurkalin BK, Kriger AG, Gorskii VA, Ovanesian ER, Andreistev IL, Rzhebaev KE. Complications of laparascopic cholecystectomy. Vestn Khir Im I I Grek 2001;160(4):78-83.
8. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg 1966;112(3):337- 47.
9. Hiatt JR, Gabbay J, Busuttil RW. Surgical anatomy of the hepatic arteries in 1000 cases. Ann Surg 1994;220(1):50-2.
10. Jones RM, Hardy KJ. The hepatic artery: a reminder of surgical anatomy. J R Coll Surg Edinb 2001;46(3):168-70.
11. Çiçekçibaşı AE, Doğan NÜ, Fazlıoğulları Z, Şanlı ÖÖ, Büyükmumcu M, Salbacak A. Arteria mesenterika süperior’dan orijin alan arteria hepatica dextra. SDÜ Tıp Fak Derg 2011;18(1):21-24.