The presence and the anatomical variations of the accessory appendicular artery: A systematic review of 604 cases

Savvakis S, Karamitsou P, Vardaxi C, Forozidou E, Emfietzis PK, Mantsopoulos K, Anastasopoulos A, Poutoglidis A (2024)

Publication Type: Journal article

Publication year: 2024

Journal

Anz Journal of Surgery Wiley-Blackwell

Book Volume: 94

Pages Range: 903-909

Journal Issue: 5

DOI: 10.1111/ans.18874

Abstract

Introduction: The accessory appendicular artery (AAA) is an accessory source of blood supply to the appendix. Its existence and potential point of origin are seldom addressed in the literature. Methods: To fill this knowledge gap, we performed a systematic review of all available studies involving both cadaveric and surgical specimens and documented the presence and the origin of the AAA, following the guidelines outlined in the preferred reporting items for systematic reviews and meta-analysis (PRISMA) statement. Results: Eleven studies, with an overall of 604 specimens were included. Our research revealed that the AAA is notably absent in most cases (83.6%). When present, it most commonly originates from the posterior cecal artery (12.4%), followed by the descending branch of the ileocolic artery (2%), and the ileal branch of the ileocolic artery (0.7%). Instances of origin from the anterior cecal, common cecal, or the ileocolic trunk were even more infrequent. Based on our observations, we introduced a new simplified classification system. Discussion: The effect of an accessory artery on the process of appendicitis remains to be clarified. We firmly recommend that surgeons should consider the possible presence and various origins of the AAA during appendectomy procedures to avoid serious complications.

Authors with CRIS profile

Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery

Involved external institutions

George Papanikolaou General Hospital of Thessaloniki GR Greece (GR)

How to cite

APA:

Savvakis, S., Karamitsou, P., Vardaxi, C., Forozidou, E., Emfietzis, P.K., Mantsopoulos, K.,... Poutoglidis, A. (2024). The presence and the anatomical variations of the accessory appendicular artery: A systematic review of 604 cases. Anz Journal of Surgery, 94(5), 903-909. https://doi.org/10.1111/ans.18874

MLA:

Savvakis, Stavros, et al. "The presence and the anatomical variations of the accessory appendicular artery: A systematic review of 604 cases." Anz Journal of Surgery 94.5 (2024): 903-909.

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