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자료유형
학술저널
저자정보
An, Chansik (Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine) Lim, Joon-Seok (Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine)
저널정보
국제컴퓨터가상수술학회 Journal of International Society for Simulation Surgery Journal of International Society for Simulation Surgery 제1권 제2호
발행연도
2014.1
수록면
87 - 89 (3page)

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An aberrant left hepatic artery is one of the most common variants of hepatic arteries, and its prevalence has been reported 6.5-30%. During D2 lymph node dissection for gastric cancer, an aberrant left hepatic artery arising from left gastric artery is ligated which may lead to hepatic damage. In this case report, a 66-year-old male patient underwent total gastrectomy with D2 lymph node dissection during which the aberrant left hepatic artery was ligated. Post-operative liver function tests revealed elevated liver enzymes, and ischemic changes in the left lateral hepatic section was seen on the CT scan. On retrospective review of preoperative CT images, a replaced left hepatic artery from left gastric artery could have been identified. The information on the presence of aberrant LHA and its supplying area is clinically important when planning curative gastrectomy for gastric cancer, because extended lymph node dissection requires division of the left gastric artery and this may lead to severe liver damage. By using preoperative CT scan, detection of aberrant left hepatic artery could be done.

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