THE VARIANT ANATOMY OF THE CELIAC TRUNK AND ITS BRANCHES IN ADULT MEN AND WOMEN WITH VARIOUS BODY SHAPE

Abstract

In connection with the rapid development of endovascular surgery and the increasing number of minimally invasive surgeries there is a need for a detailed study of variants of the architectonic and topographic and anatomical characteristics of extraorganic blood vessels. The purpose of the study was to study the variant anatomy of the celiac trunk and its branches in adult men and women with different shapes of body. The analysis of 2300 computer tomograms of the abdominal aorta and its unpaired branches of adult men and women in age 25-75 years with a different body type was made. According to the value of the Pinier index, were dedicated asthenic, normosthenic and hypersthenic forms of the physique. It is established that the cases of a typical classic variant of celiac trunk trifurcation in men is observed only in 35% of cases, and in women – in 41.2%, with an atypical variant of its division was observed significantly more often (in 65 and 58,8%, respectively). It is shown that regardless of gender and the shape of the body at Pinier index in all studied groups, the incidence of typical branching of the celiac trunk varies from 32.1 to 49.4%, and the frequency of atypical variant is an average of 62.1%. Among atypical variants of division of the celiac trunk quadrifurcation occurs more often. Thus, the frequency of most of the variants of the celiac trunk showed significant differences depending on gender and body type. Knowledge of variant anatomy of the celiac trunk will be may significantly increase the quality of preoperative diagnosis in surgery on the celiac trunk and its branches, and exclude iatrogenic damage of these vessels.