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Институт теоретической и экспериментальной биофизики Российской академии наук.


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199406, Санкт-Петербург, ул.Гаванская, д. 49, корп.2

ISSN 1999-6314

Российская поисковая система

Vol. 19, Art. 8 (pp. 103-116)    |    2018       

Clinical significance ofvariant anatomy of the left gastric vein
Kovalenko N.A.1, Gaivoronskiy I.V.1, 2, Kotiv B.N.1, Bahovadinova Sh.B.1, Kantemirov V.V.1, Novickaja N.J.3

Saint-Petersburg I.I. Dzhanelidze research institute of emergency medicine.
S.M. Kirov Military-Medical Academy
Saint-Petersburg University

Brief summary

The analysis of foreign literature on variant anatomy of the left gastric vein is presented, in particular typical and atypical patterns of its confluence, topography, morphometric characteristics and clinical significance of anatomical features in surgery. The issues under consideration are important for clinical practice, in particular, for surgical treatment of the syndrome of portal hypertension and other diseases of the gastrosplenopancreatoduodenal zone. It is shown that the left gastric vein enters the portal vein with a frequency of up to 66.8%, into the splenic vein - up to 33.2% and approximately 1% - directly to the lobar vein of the liver or its parenchyma. The range of the diameter of the left gastric vein is also characterized by variability, which is associated with various variants of topography and the presence of the right gastric vein. The frequency of the different variants of the left gastric vein entrances and the morphometric indices, apparently, depends on the size of the sample of the studied objects, sex and other causes. Clinical examples are presented that demonstrate the need for an on-site examination of the pattern of the left gastric vein entrance and its morphometric features in operative and diagnostic manipulations in the area of the upper floor of the peritoneal cavity. Without an accurate knowledge of the architectonics of the left gastric vein, there is a high risk of damage to it, which can lead to a decrease in the quality of surgical intervention and serious complications. It has been established that a universal, simplest in practice classification of variants of the left gastric vein entrance, as well as an explanation of the causes of its atypical variants and the technique of their prediction, are not yet available.

Key words

left gastric vein, variant anatomy, portal vein, atypical patterns, portal hypertension syndrome, pancreatectomy, gastrectomy, splenic vein.

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