Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
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Journal website http://www.jocmr.org

Review

Volume 9, Number 4, April 2017, pages 248-252

The Main Anatomic Variations of the Hepatic Artery and Their Importance in Surgical Practice: Review of the Literature

Figures

Figure 1.
Figure 1. Summary of the literature search.
Figure 2.
Figure 2. Type I normal anatomy according to Michels classification (81% of cases). RHA: right hepatic artery; LHA: left hepatic artery; CHA: common hepatic artery; CT: celiac trunk; PV: portal vein; LGA: left gastric artery; SA: splenic artery; SMA: superior mesenteric artery.
Figure 3.
Figure 3. Type III a replaced right hepatic artery according to Michels (3.7% of cases). RHA: right hepatic artery; LHA: left hepatic artery; CHA: common hepatic artery; CT: celiac trunk; PV: portal vein; LGA: left gastric artery; SA: splenic artery; SMA: superior mesenteric artery.
Figure 4.
Figure 4. Type V an accessory left hepatic artery according to Michels (3.2% of cases). RHA: right hepatic artery; LHA: left hepatic artery; CHA: common hepatic artery; CT: celiac trunk; PV: portal vein; LGA: left gastric artery; SA: splenic artery; SMA: superior mesenteric artery; aLHA: accessory left hepatic artery.
Figure 5.
Figure 5. Replaced RHA originating from the SMA. PNCR: pancreas; PV: portal vein; RHA: right hepatic artery; SMA: superior mesenteric artery (from the Archives 2014 Surgical Department Agios Dimitrios, Thessaloniki).

Tables

Table 1. Classification of the Articles According to the Number and Type of Patients
 
AuthorNo. of patientsType of patients
Paraskevas and Raikos [8]1Cadaver
Prakash et al [6]50Cadaver
Chitra [9]50Cadaver
Venieratos et al [7]77Cadaver
Le Bian et al [10]2Living patient
Panagouli et al [11]12,196Living patient/cadaver
Schwartz et al [12]1Living patient
Sureka et al [13]600Living patient
Chaib et al [14]60Cadaver
Ramanadham et al [15]2Living patient
Yi et al [16]1Living patient
Loschner et al [17]1,297Living patient
Lopez-Andujar et al [18]1,081Cadaver
Koops et al [19]604Living patient
De Cecco et al [20]250Living patient
Coskun et al [21]48Living patient
Stemmler et al [22]63Living patient
Winston et al [23]371Living patient
Covey et al [24]600Living patient
Saba and Mallarini [25]1,629Living patient
Sebben et al [26]30Cadaver

 

Table 2. Distribution of the Found Variants
 
Michels typeN = 19,013100%
I15,34281
II5563
III7103.7
IV1630.8
V5923.2
VI3091.6
VII380.2
VIII660.35
IX2451.2
X50.04
Not yet classified types7844.1