Suzuki classification : a useful adjunct to michel and hiatt hepatic arterial classification systems
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 2
Abstract
Multidetector Computed Tomography (MDCT) allows non-invasive and accurate preoperative evaluation of hepatobiliary anatomy. Clinician is well versed with relevant hepatobiliary anatomy and can meticulously plan treatment in conveyance with radiologist. We highlight importance of Suzuki classification as a useful adjunct to Michel and Hiatt hepatic arterial classification systems. Hepatic arterial classification was first given in 1955 by Michel NA. Mitchell classification covered almost all hepatic artery variations except few like hepatic artery arising directly from aorta. Second clinically significant contribution was by Hiatt JR and coworkers who modified Michel classification system in 1994 and defined 6 types of hepatic artery variations. Hiatt JR simplified hepatic arterial classification system and was easy to follow. A new classification system was proposed in 1971 by Suzuki T and coworkers. They defined three groups based on number of hepatic arteries at hilar region. Our case series of three cases highlights the complimentary role of three hepatic arterial classification systems given by Michel NA, Hiatt JR and coworkers and Suzuki T and coworkers. We conclude that introduction of Suzuki classification is useful for describing rare variants of hepatic arterial pattern not covered in already known hepatic arterial classification systems. It is our firm believe that Suzuki classification would act as an adjunct to already known classification systems by Michel and Hiatt and should not replace already known classification systems.
Authors and Affiliations
Pankaj Sharma, Sheo Kumar
Keywords
Related Articles
- EP ID EP611684
- DOI -
- Views 212
- Downloads 0
ABC of Stem Cell
A stem cell is a cell with the unique ability to develop into specialised cell type in the body. In the future they may be used to replace cells and tissues, that have been damaged or lost due to disease. Our body is mad...
Diaphyseal aclasis : study of imaging pattern and associated deformities
Hereditary multiple exostosis, also known as Diaphyseal aclasis is characterised by development of multiple exostosis. We report two cases of diaphyseal aclasis who presented to the outpatient orthopaedics department of...
Seroconversion of HBsAg in HBeAg positive and HBeAg negative patients with chronic HBV infection treated with entecavir — a case series from a tertiary care teaching hospital in Eastern India
The prevalence of chronic HBV infection is increasing in developing countries including India. Experience of seroconversion after treatment with entecavir in patients of chronic HBV infection has been rarely reported. Ou...
Prevalence of obesity, prediabetes, diabetes mellitus, prehypertension and hypertension among health checkup beneficiaries in Erode district, Tamilnadu
The study was conducted to find out the prevalence of obesity, prediabetes (Impaired fasting glucose-IFG), diabetes mellitus (DM), prehypertension (PreHTN) and hypertension(HTN) among health checkup beneficiaries who att...
Acute encephalitis syndrome an unsolved mystery !
Acute encephalitis syndrome (AES) can be defined as an acute onset of fever with change in mental status (confusion, disorientation, inability to talk, coma) and/ or new onset seizures (excluding simple febrile seizures)...