{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T15:56:19Z","timestamp":1771948579606,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T00:00:00Z","timestamp":1726876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The coeliac plexus is often approached due to the diagnosis and treatment of the intractable pain associated with cancerous or non\u2010cancerous pathology of the pancreas or neighbouring organs. Various methods of coeliac plexus blocks are used and the variations in its structure are causes of the failures of such procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty human cadavers (17 male, 3 females, age range 30\u201386\u2009years, without any abdominal pathology) were dissected in the supine position. The abdominal autonomics was studied bilaterally after the incision of the abdominal wall the peritoneal sac was cut and the abdominal organs were removed. The coeliac plexus becomes visible after removing the hepatogastric and hepatoduodenal ligaments and pulling the stomach to the left and the pancreas downward.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The largest coeliac ganglion was 45\u2009mm on the right and 25\u2009mm on the left. The average distance of the ganglia from the coeliac trunks was 6\u20139\u2009mm from the right and left. The size of coeliac ganglia varies from 5 to 45\u2009mm and their number from 2 to 12. Ganglia can be diffusely or concentrically organized. The coeliac plexus almost always receives the branches from the greater splanchnic and vagus nerves. Sometimes the contributions from the lesser splanchnic nerve, phrenic nerve, and accessory phrenic nerve (60%) were observed. Very rarely are missing both phrenic nerves.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sympathectomy (splanchnicectomy), as well as the coeliac blocks (under US, CT control, or laparotomic) aimed at pain relief usually by pancreatic cancer, should consider these possible variabilities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19234","type":"journal-article","created":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T09:54:58Z","timestamp":1726912498000},"page":"2258-2262","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Contribution to the variability in the coeliac plexus structure and formation"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1583-6938","authenticated-orcid":false,"given":"Zora","family":"Haviarov\u00e1","sequence":"first","affiliation":[{"name":"Institute of Anatomy, Faculty of Medicine ComeniusUniversity  Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5058-5356","authenticated-orcid":false,"given":"Roman","family":"Kuruc","sequence":"additional","affiliation":[{"name":"Institute of Forensic Medicine Health Care of Surveillance Authority  Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9051-4803","authenticated-orcid":false,"given":"Viktor","family":"Matj\u010d\u00edk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Faculty of Medicine and University Hospital, Comenius University  Bratislava Slovakia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,9,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-197911000-00004"},{"key":"e_1_2_8_3_1","first-page":"362","article-title":"Morphological variations of the coeliac plexus and its clinical implications: a literature review","volume":"38","author":"Santana JGA","year":"2021","journal-title":"J Morphol Sci"},{"key":"e_1_2_8_4_1","volume-title":"Anatomy\u2013the Anatomical Basis of Clinical Praxis","author":"Standring S","year":"2021"},{"key":"e_1_2_8_5_1","volume-title":"Anatomie 3","author":"\u010cih\u00e1k R","year":"2002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1090770306"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20964"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23894"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-000-0046-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-013-0394-z"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/0100-3984.2013.1881"},{"key":"e_1_2_8_12_1","first-page":"135","article-title":"Morphological variations of the coeliac plexus in Korean cadavers","volume":"2","author":"Hur CR","year":"1989","journal-title":"J Korean Pain Soc."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.04.1765"},{"key":"e_1_2_8_14_1","first-page":"5508","article-title":"To study the vertebral level of the coeliac ganglion and its clinical implications","volume":"9","author":"Ambali MP","year":"2022","journal-title":"Eur. 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