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- 저자 : ( Lyubov Ivanova ) (검색결과 2 건)
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Rare Cases of Variability of Hepatic Arteries by the Re sults of Computed Tomography
( Diana Pay ),( Valeriy Ignatyev ),( Myltykbay Rysmakhanov ),( Rustem Abubakirov ),( Lyubov Ivanova ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Background: Modern technological progress and the successes of anatomical science have found their application in clinical medicine, which led to a revision of the strategy and tactics of treating patients. The study of variant anatomy of the hepatic arteries remains relevant and in hepatobiliary surgery is of great practical importance. Aim: To search for and study of the new anatomical variants of Hepatic arteries based on the results of computed tomography. Methods: On the basis of the Radiology Department of the Aktobe Medical Center, 350 CT scans with contrasting of he patic arteries of patients aged between 23 and 88 years were studied. Results: The data obtained by us have shown rare combined variations of the hepatic artery deviation: the Left hepatic artery from the Superior Mesenteric artery + Right hepatic artery from the abdominal part of the aorta; divergence of the left hepat ic artery from the left gastric + right hepatic artery from the gastroduodenal artery; left hepatic artery from the left gastric + right hepatic artery from the superior mesenteric and other isolated variations. Conclusions: The analysis of the results confirms the multivari ance of extrahepatic parts of Hepatic arteries: the presence of combined variants replacing and accessorial arteries, their origin from previously undescribed sources. Accurate identification of one or another variant of the structure of the trunks studied by us will help to avoid damage to them, as well as safe grafting of the transplant and proper application of arterial anastomoses to prevent ischemic manifestations in the liver.
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Origin Variability of Hepatic Arteries by the Dissecting Results
( Valeriy Ignatjev ),( Diana Pay ),( Myltykbay Rysmakhanov ),( Rustem Abubakirov ),( Lyubov Ivanova ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The results of modern anatomical studies of the human blood circulatory system continue to confirm classical works on the standard anatomy and variability of the human body. The study of variant anatomy of the hepatic arteries remains relevant, their new forms are being discovered, the presence of which is of great importance in hepatobiliary surgery. Study the anatomical variants of the hepatic arteries. Methods: The material of his own anatomical study was 48 organ complexes of a man obtained from the university long-term storage of natural preparations. The classical anatomical method of investigation - preparation was applied. Results: While investigating we revealed the following vari ations in the blood supply of the liver: divergence of the Left hepatic artery from the left gastric; origin of the Right hepatic artery from the abdominal part of the aorta; the Cystic artery was a branch of Proper hepatic artery; combined form: double Proper hepatic artery + double Left hepatic + double Cystic ar tery and other isolated variations. Conclusions: Russian surgeon N. Pirogov proved the necessity of irreproachable possession of the sum of anatomical knowl edge for all doctors without exception. Our research confirms and supplements available information about a rather wide range of variability of the hepatic arteries in humans for ana tomical and surgical sciences. In clinical practice deviations from classical anatomy complicate diagnosis, lead to medical errors in operative and endovascular interventions which forces sur geons to always creative and not routine treatment of patients.
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