Replaced common hepatic artery from the XXXX : multidetector computed tomography (MDCT) classification focused on pancreatic penetration and the course of travel.

@entity6688 @entity788 @entity99 @entity6029
PURPOSE: We categorize the subtypes of the @entity99 ( @entity99 ) and evaluate the clinical implications. METHODS: Thirty-four cases of the @entity99 were evaluated retrospectively using multidetector computed tomography. We categorized them into the three @entity99 subtypes according to pancreatic penetration and the passing routes. The distance between the orifice of the @entity6029 ( @entity6029 ) and @entity99 bifurcation (D @entity6029 - @entity99 ) was measured using advanced 3D imaging software. Analysis of variance was used to evaluate the difference in D @entity6029 - @entity99 according to the @entity99 subtype. RESULTS: Type A (n  =  17, 50  %) referred to @entity99 penetrating the @entity788 , all crossing the dorsal aspect of the superior mesenteric vein (SMV). Among them, three cases were accompanied by the circumportal pancreas. Type B (n  =  10, 29  %) referred to @entity99 without penetration of the @entity788 and crossing of the dorsal aspect of the main portal vein ( @entity6688 ) or SMV. Type C (n  =  7, 21  %) referred to @entity99 without penetration of the pancreas parenchyma and crossing of the ventral aspect of the @entity6688 or SMV. The mean D @entity6029 - @entity99 of each subtype was as follows: type A, 3.13  cm [95  % confidence interval (CI) 2.70-3.57]; type B, 2.04  cm [95  % CI 1.40-2.68]; and type C, 2.14  cm [95  % CI 2.23-2.92]. The D @entity6029 - @entity99 of the penetrating @entity788 of the @entity99 was significantly longer than that of the non-penetrating @entity788 (P  =  0.007). CONCLUSION: Half of @entity99 show penetrating the @entity788 , which was categorized as type A, and this type A takes off from the @entity6029 more distally than @entity99 without intrapancreatic penetration.
