Comparação entre exames de imagem e achados operatórios em doadores para transplante hepático intervivos

Freitas, Alexandre Coutinho Teixeira de; Godoy, José Luiz de; Matias, Jorge Eduardo Fouto; Stadnik, Lucinei; Coelho, Júlio Cézar Uili

doi:10.1590/s0004-28032007000400009

Cited by 4 publications

(4 citation statements)

References 17 publications

(14 reference statements)

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“…Our study provides an insight into the anatomical patterns found in Brazil. In view of our findings, it is possible to conclude that, because of the extensive miscegenation in Brazil, the indices of anatomical variation, despite sharing points of similarity, also present patterns of variations that differ considerably from those reported in the international literature, especially when we compare the patterns of celiac trunk variation with those found in homogeneous populations 2 , 9 , 14 , 32 .…”

Section: Discussioncontrasting

confidence: 41%

“…It is noteworthy that some isolated studies conducted in Brazil have analyzed the anatomical pattern of the hepatic artery and its branches in cadavers and during liver transplantations. However, studies dealing with the anatomical variations of the celiac trunk are really quite rare in Brazil, this being the aspect of our study that distinguishes it from others in the literature 2 , 9 , 14 , 22 , 30 .…”

Section: Discussionmentioning

confidence: 66%

“…Further studies of this nature could lead to better technical planning of surgical procedures and could avoid inadvertent injuries that might compromise the results of medical procedures, leading to complications. Better knowledge of anatomical variations could ultimately contribute to reducing the rates of morbidity and mortality in endovascular procedures, abdominal surgeries, and transplantations, especially those of the liver and pancreas 2 , 14 , 22 , 30 .…”

Section: Discussionmentioning

confidence: 99%

“…For example, one important application that requires a detailed knowledge of the vascular anatomy is the infusion of chemotherapy via catheter for the treatment of unresectable malignant liver tumors. Laparoscopic surgery can be understood as a model of the importance of recognizing vascular variations in order to avoid iatrogenic complications, given that the surgical field is limited 11 , 13 , 14 , 16 , 18 - 22 .…”

Section: Introductionmentioning

confidence: 99%

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Computed tomography angiography study of variations of the celiac trunk and hepatic artery in 100 patients

et al. 2018

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Objective To describe the main anatomical variations of the celiac trunk and the hepatic artery at their origins.Materials and Methods This was a prospective analysis of 100 consecutive computed tomography angiography studies of the abdomen performed during a one-year period. The findings were stratified according to classification systems devised by Sureka et al. and Michels.Results The celiac trunk was "normal" (i.e., the hepatogastrosplenic trunk and superior mesenteric artery originating separately from the abdominal aorta) in 43 patients. In our sample, we identified four types of variations of the celiac trunk. Regarding the hepatic artery, a normal anatomical pattern (i.e., the proper hepatic artery being a continuation of the common hepatic artery and bifurcating into the right and left hepatic arteries) was seen in 82 patients. We observed six types of variations of the hepatic artery.Conclusion We found rates of variations of the hepatic artery that are different from those reported in the literature. Our findings underscore the need for proper knowledge and awareness of these anatomical variations, which can facilitate their recognition and inform decisions regarding the planning of surgical procedures, in order to avoid iatrogenic intraoperative injuries, which could lead to complications.

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Section: Discussioncontrasting

confidence: 41%