Publication details

Vascular anatomy of the stomach related to resection procedures strategy

Authors

PRUDIUS Vadym PROCHÁZKA Vladimír PAVLOVSKÝ Zdeněk PRUDIUS Dana KALA Zdeněk

Year of publication 2017
Type Article in Periodical
Magazine / Source Surgical and Radiologic Anatomy
Citation
Web http://link.springer.com/article/10.1007%2Fs00276-016-1746-2
Doi http://dx.doi.org/10.1007/s00276-016-1746-2
Field Surgery incl. transplantology
Keywords Esophagoplasty; Gastro-epiploic artery; Left gastric artery; Stomach
Description This study is focused on the vascular anatomy of the stomach in relation to the gastric pull-up construction. The vascular anatomy was studied on forty-one human specimens. We find out the differences in blood supplement between anterior and posterior wall. It was maked an review of the main trunk arteries of the stomach. To display the vessels of the stomach we used diaphanoscopy, digital shooting in special mode and micro preparation of the vessels. We find out that left gastric artery gives more branches to the posterior wall and right gastroepiploic artery (RGEA) gives more branches to the anterior wall. But brunches of RGEA are longer on the posterior wall than on the anterior. Also we are offering the new classification of the RGEA related to gastric pull-up construction. This classification based not only on the anatomical shapes of RGEA but on the properties of the flow dynamics through the artery.

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