Studies on the Feasibility of Celiac Axis Ligation_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Jian , WEN Tianfu.

Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Celiac axis ligation Trauma AneurysmUpper gastrointestinal haemorrhage Carcinoma Hypertension of portal vein

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【Abstract】ObjectiveTo summarize the study on the feasibility of celiac axis ligation.
Methods Literatures about celiac axis ligation were reviewed retrospectively.
ResultsCeliac axis branches included common hepatic artery， splenic artery， left gastric artery which had many variation and collateral flow between celiac and mesenteric vessels by gastroduodenal artery and pancreaticoduodenal artery. Celiac axis could be possibly ligated without obvious complications in patients who had celiac axis injuries, celiac artery aneurysms, upper gastrointestinal haemorrhage, excision of carcinoma around the celiac axis and portal hypertension. However, gallbladder necrosis or perforation, focal infarction of the liver even higher mortality had also been reported.
ConclusionCeliac axis ligation should not be performed routinely, but it is surgically possible and may be a life saving approach in certain circumstances.

Citation： YANG Jian,WEN Tianfu.. Studies on the Feasibility of Celiac Axis Ligation. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(3): 362-364. doi: Copy

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19.	Rosenblum JD， Boyle CM， Schwartz LB. The mesenteric circulation: anatomy and physiology.
20.	Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation.
21.	Mizobata Y， Yokota J, Yajima Y， et al. Two cases of blunt hepatic injury with active bleeding from the right inferior phrenic artery [J]. J of TraumaInjury Infection & Critical Care, 2000; 48(6)∶1153.
22.	Skandalakis PN, Colborn GL, Skandalakis LJ, et al. The surgical anatomy of the spleen.
23.	Vandamme JP, Bonte J. The blood supply of the stomach.
24.	Brown JR, Derr JW. Arterial blood supply of human stomach.
25.	Toni R, Favero L, Mosca S， et al. Quantitative clinical anato my of the pancreatic arteries studied by selective celiac angiography.
26.	Kavic SM, Atweh N, Ivy ME, et al. Celiac axis ligation after gunshot wound to the abdomen: case report and literature review [J]. J of TraumaInjury Infection & Critical Care, 2001; 50(4)∶738.
27.	Rich NM, Mattox KL, Hirshberg A， Eds. Vascular trauma.
28.	Moore EE, Feliciano DV, Mattox KL, Eds. Trauma.
29.	Asensio JA, Petrone P, Kimbrell B, et al. Lessons learned in the management of thirteen celiac axis injuries.
30.	Rob CG, Owen K. Ligation of both the coeliac axis and superior mesenteric artery with survival of the patient.
31.	Miller DW Jr， Royster TS. Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment.
32.	LopezTomassetti Fernandez EM, Herrero Segura A, Gonzalez Hermoso F. Coeliac axis ligation in a unmangageable upper gastrointestinal haemorrhage.
33.	Appleby LH. The coeliac axis in the expansion of the operation for gastric carcinoma.
34.	Berman JK, Hull JE. Hepatic, splenic, and left gastric arterial ligations in advanced portal cirrhosis.
35.	Graham JM, Mattox KL, Beall AC Jr, et al. Injuries to the visceral arteries.
36.	Nomura T, Shirai Y, Hatakeyama K, et al. Spontaneous gallbladder perforation without acute inflammation or gallstones.
37.	Clark JS. Hepatic necrosis following celiac artery ligation during gastric resection in man.

1. [J]. Surg Clin North Am, 1997; 77(2)∶289.
2. [J]. Am J Surg， 1966; 112(9)∶337.
3. [J]. Surg Clin North Am, 1993; 73(4)∶747.
4. [J]. Acta Anat, 1988; 131(2)∶89.
5. [J]. Arch surg, 1952; 64(5)∶616.
6. [J]. Surg Radiol Anat, 1988; 10(1)∶53.
7. [M]. 2nd ed. Pennsylvania： Elsevier Saunders, 2004∶304-305.
8. [M]. 15th ed. New York： McGrayHill, 2004∶762.
9. [J]. South Med J, 2005; 98(4)∶462.
10. [J]. Br J Surg, 1956; 44(185)∶247.
11. [J]. Vasc.
12. Surg, 1971; 5(1)∶42.
13. [J]. Scand J Gastroenterol, 2005; 40(4)∶486.
14. [J].Cancer, 1953; 6(4)∶704.
15. [J]. Arch Surg, 1952; 65(1)∶37.
16. [J]. Surgery, 1978; 84(6)∶835.
17. [J]. Am J Gastroenterol, 1997; 92(5)∶895.
18. [J]. Arch Surg, 1955; 71(2)∶171.
19. Rosenblum JD， Boyle CM， Schwartz LB. The mesenteric circulation: anatomy and physiology.
20. Michels NA. Newer anatomy of the liver and its variant blood supply and collateral circulation.
21. Mizobata Y， Yokota J, Yajima Y， et al. Two cases of blunt hepatic injury with active bleeding from the right inferior phrenic artery [J]. J of TraumaInjury Infection & Critical Care, 2000; 48(6)∶1153.
22. Skandalakis PN, Colborn GL, Skandalakis LJ, et al. The surgical anatomy of the spleen.
23. Vandamme JP, Bonte J. The blood supply of the stomach.
24. Brown JR, Derr JW. Arterial blood supply of human stomach.
25. Toni R, Favero L, Mosca S， et al. Quantitative clinical anato my of the pancreatic arteries studied by selective celiac angiography.
26. Kavic SM, Atweh N, Ivy ME, et al. Celiac axis ligation after gunshot wound to the abdomen: case report and literature review [J]. J of TraumaInjury Infection & Critical Care, 2001; 50(4)∶738.
27. Rich NM, Mattox KL, Hirshberg A， Eds. Vascular trauma.
28. Moore EE, Feliciano DV, Mattox KL, Eds. Trauma.
29. Asensio JA, Petrone P, Kimbrell B, et al. Lessons learned in the management of thirteen celiac axis injuries.
30. Rob CG, Owen K. Ligation of both the coeliac axis and superior mesenteric artery with survival of the patient.
31. Miller DW Jr， Royster TS. Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment.
32. LopezTomassetti Fernandez EM, Herrero Segura A, Gonzalez Hermoso F. Coeliac axis ligation in a unmangageable upper gastrointestinal haemorrhage.
33. Appleby LH. The coeliac axis in the expansion of the operation for gastric carcinoma.
34. Berman JK, Hull JE. Hepatic, splenic, and left gastric arterial ligations in advanced portal cirrhosis.
35. Graham JM, Mattox KL, Beall AC Jr, et al. Injuries to the visceral arteries.
36. Nomura T, Shirai Y, Hatakeyama K, et al. Spontaneous gallbladder perforation without acute inflammation or gallstones.
37. Clark JS. Hepatic necrosis following celiac artery ligation during gastric resection in man.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Studies on the Feasibility of Celiac Axis Ligation

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