The risk of damage to the accessory arteries of the liver in gastric surgery
- Authors: Shapkin V.S.1
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Affiliations:
- Vladivostok Medical Institute
- Issue: Vol 50, No 6 (1969)
- Pages: 28-30
- Section: Theoretical and clinical medicine
- URL: https://journals.rcsi.science/kazanmedj/article/view/106221
- DOI: https://doi.org/10.17816/kazmj106221
- ID: 106221
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Abstract
After gastric resection, total gastrectomy, and sometimes other operations, severe complications can occasionally occur — necrosis of large parts of the liver. They arise as a result of erroneous ligation of the additional arteries of the liver during the mobilization of the stomach.
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##article.viewOnOriginalSite##About the authors
V. S. Shapkin
Vladivostok Medical Institute
Author for correspondence.
Email: info@eco-vector.com
Prof., Department of Faculty Surgery
Russian Federation, VladivostokReferences
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Fig. 1. Intra-organ branches of the hepatic artery (rear view).
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Fig. 2. The scheme of variations of the hepatic artery in the presence of an additional artery of the left liver. The numbers indicate the branches of the artery of the corresponding segment of the liver.
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Fig. 3. Ligation of the left gastric artery with preservation of blood supply to the liver in the presence of an additional artery of the left lobe of the liver. The cross indicates the possible place of ligation and intersection of the left gastric artery.
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