The Experts below are selected from a list of 3168 Experts worldwide ranked by ideXlab platform

Vincenzo David - One of the best experts on this subject based on the ideXlab platform.

  • Common Hepatic Artery aneurysm successfully treated with a celiac axis stent graft two years of follow up
    European Journal of Radiology Extra, 2010
    Co-Authors: Michele Rossi, Alberto Rebonato, Michele Citone, Marco La Torre, Vincenzo David
    Abstract:

    Abstract Purpose To present a case of partially thrombosed 5 cm wide aneurysm of the origin of Common Hepatic Artery with occlusion of Common Hepatic Artery distal to the aneurysm and proper Hepatic Artery revascularized by gastroduodenal and superior mesenteric arteries. Case report After a preliminary 3D rotational angiography evaluation a stent graft was deployed in the celiac axis to exclude the Common Hepatic Artery and the aneurysm taking the advantage of developed complete collateral liver blood supply. Two year CT follow up showed stent patency without clinical and radiological evidence of visceral ischemic damage. Clinical and technical considerations are discussed. Conclusions The positive mid-term outcome confirms the efficacy of endovascular exclusion with stent graft, in the treatment of Hepatic Artery aneurysm in selected cases.

Joao Antonio Correa - One of the best experts on this subject based on the ideXlab platform.

  • endovascular treatment of a giant Hepatic Artery aneurysm with amplatzer vascular plug
    Journal of Vascular Surgery, 2014
    Co-Authors: Rafael Noronha Cavalcante, Viviane Augusto Pereira Couto, Andre Vinicius Da Fonseca, Agenor Jose Vasconcelos Costa, Robson Barbosa De Miranda, Joao Antonio Correa
    Abstract:

    Hepatic Artery aneurysms are unCommon and account for 20% of visceral aneurysms. Some authors consider endovascular procedures as the first line treatment for most Hepatic Artery aneurysms, being the conventional surgery reserved for unstable ruptured aneurysms or if the anatomy is unsuitable for endovascular repair. In this report, we describe the endovascular treatment of a giant Common Hepatic Artery aneurysm with an Amplatzer vascular plug.

Chang-ming Huang - One of the best experts on this subject based on the ideXlab platform.

  • application value of a 6 type classification system for Common Hepatic Artery absence during laparoscopic radical resections for gastric cancer a large scale single center study
    Medicine, 2015
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang, Ruifu Chen, Jin Wei, Longlong Cao, Mi Lin
    Abstract:

    The Common Hepatic Artery (CHA) is an important blood vessel that must be vascularized during D2 lymphadenectomies for gastric cancer. When the CHA is absent, the risk of vascular injury increases.To explore the anatomic classification of CHA absence and its application value in laparoscopic radical resections for gastric cancer.Clinical data were collected prospectively from 2170 gastric cancer patients from June 2007 to December 2013, and the data were analyzed retrospectively. The anatomy of CHA absence was assessed synthetically by combining preoperative CT scans and intraoperative images, which were classified according to the anatomy of replaced Hepatic arteries (RHAs) and were grouped into the early-year group (2007-2011) and the later-year group (2012-2013) based on the year in which the operation was performed.CHA absence was noted in 38 cases (1.8%) and was classified into 6 types: type I (replaced CHA [RCHA] from the superior mesenteric Artery [SMA] with retropancreatic course, 28), type II (RCHA from the SMA with circumambulated course, 1), type III (RCHA from the aortic Artery, 1), type IV (replaced left Hepatic Artery [RLHA] from the left gastric Artery [LGA] and replaced right Hepatic Artery [RRHA] from the SMA, 5), type V (RLHA from the LGA and RRHA from the celiac Artery, 2), and type VI (RLHA from the aberrant gastroduodenal Artery and RRHA from the SMA, 1). Of the 38 cases, 17 cases (44.7%) belong to the early-year group, and 21 cases (55.3%) belong to the later-year group. The vascular injury rate was significantly lower in the later-year group than in the early-year group (4.8% [1/21] vs 41.2% [7/17], P = 0.005]. Additionally, the alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total bilirubin (TBIL) values were significantly lower in the later-year group than in the early-year group on postoperative day 3 (all P < 0.05).A 6-type anatomic classification system can be used to demonstrate variations in features resulting from CHA absence in detail. Knowledge regarding a patient's classification is helpful for surgeons, and vascular injury and liver function damage may be reduced in patients who are properly classified prior to surgery.

  • Clinicopathologic features of patients with and without SHLNM.
    2014
    Co-Authors: Chang-ming Huang, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang, Jun-rong Zhang, Qi-yue Chen
    Abstract:

    Circum, includes more than 2 portions and circum patients; BMI, body mass index; LVI, lymphovascular invasion; LNM, lymph nodes metastasis.No.1(Right cardial), No.2(Left cardial), No.3(LN along the lesser curvature ), No.4(LN along the greater curvature), No.5(Suprapyloric), No.6 (Infrapyloric), No.7(LN along the left gastric Artery), No.8(LN along the Common Hepatic Artery), No.9(LN along the celiac Artery), No.11(LN along the splenic Artery ), No.12(LN in the hepatoduodenal ligament ).Clinicopathologic features of patients with and without SHLNM.

  • Preoperative enhanced transverse CT image showing a fine accessory left Hepatic Artery (ALHA) in the gastroHepatic ligament.
    2013
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang
    Abstract:

    (a). Three-dimensional CT reconstruction,showing an ALHA originating from the left gastric Artery. (b). LGA, left gastric Artery; SPA, splenic Artery; CHA, Common Hepatic Artery; PHA, proper Hepatic Artery; LHA, left Hepatic Artery; RHA, right Hepatic Artery.

  • Schematic drawing of the accessory left Hepatic Artery (ALHA).
    2013
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang
    Abstract:

    (a). Intraoperative photograph showing an ALHA arising from the left Hepatic Artery and entering the left liver. (b). LGA, left gastric Artery; SPA, splenic Artery; CHA, Common Hepatic Artery; PHA, proper Hepatic Artery; GDA, gastroduodenal Artery; RGEA, right gastroepiploic Artery; LHA, left Hepatic Artery; RHA, right Hepatic Artery.

Taro Oshikiri - One of the best experts on this subject based on the ideXlab platform.

  • radical lymph node dissection along the proximal splenic Artery during laparoscopic gastrectomy for gastric cancer using the left lateral approach
    Annals of Surgical Oncology, 2017
    Co-Authors: Shingo Kanaji, Taro Oshikiri, Satoshi Suzuki, Masashi Yamamoto, Yoshiko Matsuda, Kimihiro Yamashita, Takeru Matsuda, Tetsu Nakamura, Yasuo Sumi, Yoshihiro Kakeji
    Abstract:

    Background Recent technical improvements allow safe laparoscopic lymph node dissection (LND) in gastric cancer.1,2 In suprapancreatic LND, careful LND around the celiac Artery (CA) is essential. From a patient’s right side, deep LND is performed around the right side of the CA after dissecting around the Common Hepatic Artery (CHA). For LND around the left side of the CA on the same operative axis as the right side, we developed a new procedure for LND along the proximal splenic Artery (SA), performed from the patient’s left side.

  • successful laparoscopic distal gastrectomy with d2 lymph node dissection preserving the Common Hepatic Artery branched from the left gastric Artery for advanced gastric cancer with an adachi type vi group 26 vascular anomaly
    Surgical Case Reports, 2016
    Co-Authors: Hironobu Goto, Takashi Yasuda, Taro Oshikiri, Tatsuya Imanishi, Hironori Yamashita, Masato Oyama, Keitaro Kakinoki, Tadayuki Ohara, Hiroyoshi Sendo, Yasuhiro Fujino
    Abstract:

    We report a case of successful laparoscopic distal gastrectomy with D2 lymph node dissection preserving the Common Hepatic Artery branched from the left gastric Artery for advanced gastric cancer with an Adachi type VI (group 26) vascular anomaly. A 76-year-old female patient was admitted with a diagnosis of advanced gastric cancer at the anterior wall to the lesser curvature of the antrum (cT3N0M0 cStage IIA). Dynamic computed tomography showed the ectopia of the Common Hepatic Artery branched from the left gastric Artery. We made a diagnosis of an Adachi type VI (group 26) vascular anomaly and performed the abovementioned operation. In this anomaly pattern, scrupulous attention is required to remove the suprapancreatic lymph nodes because the portal vein is located immediately dorsal to those lymph nodes and is at increased risk for the injury in this situation. The Common Hepatic Artery is branched from the left gastric Artery, and the Hepatic perfusion from the superior mesenteric Artery is not present in group 26. Planning to preserve the Artery will improve safety when it is possible oncologically. There were no postoperative complications, and the patient was discharged 9 days after the operation. To our knowledge, the present case is the first reported case of a laparoscopic distal gastrectomy with D2 lymph node dissection with an Adachi type VI (group 26) vascular anomaly. Preoperative diagnostic imaging is very important to prevent surgical complications because the reliable identification of vascular anomaly during an operation is very difficult.

Jia-bin Wang - One of the best experts on this subject based on the ideXlab platform.

  • application value of a 6 type classification system for Common Hepatic Artery absence during laparoscopic radical resections for gastric cancer a large scale single center study
    Medicine, 2015
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang, Ruifu Chen, Jin Wei, Longlong Cao, Mi Lin
    Abstract:

    The Common Hepatic Artery (CHA) is an important blood vessel that must be vascularized during D2 lymphadenectomies for gastric cancer. When the CHA is absent, the risk of vascular injury increases.To explore the anatomic classification of CHA absence and its application value in laparoscopic radical resections for gastric cancer.Clinical data were collected prospectively from 2170 gastric cancer patients from June 2007 to December 2013, and the data were analyzed retrospectively. The anatomy of CHA absence was assessed synthetically by combining preoperative CT scans and intraoperative images, which were classified according to the anatomy of replaced Hepatic arteries (RHAs) and were grouped into the early-year group (2007-2011) and the later-year group (2012-2013) based on the year in which the operation was performed.CHA absence was noted in 38 cases (1.8%) and was classified into 6 types: type I (replaced CHA [RCHA] from the superior mesenteric Artery [SMA] with retropancreatic course, 28), type II (RCHA from the SMA with circumambulated course, 1), type III (RCHA from the aortic Artery, 1), type IV (replaced left Hepatic Artery [RLHA] from the left gastric Artery [LGA] and replaced right Hepatic Artery [RRHA] from the SMA, 5), type V (RLHA from the LGA and RRHA from the celiac Artery, 2), and type VI (RLHA from the aberrant gastroduodenal Artery and RRHA from the SMA, 1). Of the 38 cases, 17 cases (44.7%) belong to the early-year group, and 21 cases (55.3%) belong to the later-year group. The vascular injury rate was significantly lower in the later-year group than in the early-year group (4.8% [1/21] vs 41.2% [7/17], P = 0.005]. Additionally, the alanine aminotransferase (ALT), aspartate aminotransferase (AST), and total bilirubin (TBIL) values were significantly lower in the later-year group than in the early-year group on postoperative day 3 (all P < 0.05).A 6-type anatomic classification system can be used to demonstrate variations in features resulting from CHA absence in detail. Knowledge regarding a patient's classification is helpful for surgeons, and vascular injury and liver function damage may be reduced in patients who are properly classified prior to surgery.

  • Clinicopathologic features of patients with and without SHLNM.
    2014
    Co-Authors: Chang-ming Huang, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang, Jun-rong Zhang, Qi-yue Chen
    Abstract:

    Circum, includes more than 2 portions and circum patients; BMI, body mass index; LVI, lymphovascular invasion; LNM, lymph nodes metastasis.No.1(Right cardial), No.2(Left cardial), No.3(LN along the lesser curvature ), No.4(LN along the greater curvature), No.5(Suprapyloric), No.6 (Infrapyloric), No.7(LN along the left gastric Artery), No.8(LN along the Common Hepatic Artery), No.9(LN along the celiac Artery), No.11(LN along the splenic Artery ), No.12(LN in the hepatoduodenal ligament ).Clinicopathologic features of patients with and without SHLNM.

  • Preoperative enhanced transverse CT image showing a fine accessory left Hepatic Artery (ALHA) in the gastroHepatic ligament.
    2013
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang
    Abstract:

    (a). Three-dimensional CT reconstruction,showing an ALHA originating from the left gastric Artery. (b). LGA, left gastric Artery; SPA, splenic Artery; CHA, Common Hepatic Artery; PHA, proper Hepatic Artery; LHA, left Hepatic Artery; RHA, right Hepatic Artery.

  • Schematic drawing of the accessory left Hepatic Artery (ALHA).
    2013
    Co-Authors: Chang-ming Huang, Qi-yue Chen, Jian-xian Lin, Chao-hui Zheng, Jian-wei Xie, Jia-bin Wang
    Abstract:

    (a). Intraoperative photograph showing an ALHA arising from the left Hepatic Artery and entering the left liver. (b). LGA, left gastric Artery; SPA, splenic Artery; CHA, Common Hepatic Artery; PHA, proper Hepatic Artery; GDA, gastroduodenal Artery; RGEA, right gastroepiploic Artery; LHA, left Hepatic Artery; RHA, right Hepatic Artery.