Clinical anatomy related to the hepatic veins for right lobe living donor liver transplantation

被引:7
作者
Liu, Jing [1 ]
Chen, Da-Feng [1 ]
Chen, Wen-You [1 ]
Guo, Hua [2 ]
Li, Zhong-Hua [3 ]
机构
[1] Xiamen Univ, Southeast Hosp, Dept Surg, Zhangzhou 363000, Fujian, Peoples R China
[2] Zhejiang Univ, Coll Med, Affiliated Hosp 1, Dept Hepaticobiliary Surg, Hangzhou 310003, Zhejiang, Peoples R China
[3] South Med Univ, Inst Clin Anat, Guangzhou, Guangdong, Peoples R China
关键词
living donor; liver transplantation; right lobe; hepatic veins; clinical anatomy; INFERIOR VENA-CAVA; RETROHEPATIC SEGMENT; HANGING MANEUVER; RECONSTRUCTION; GRAFT; HEPATECTOMY; MOBILIZATION; POPULATION; CONGESTION; SIZE;
D O I
10.1002/ca.22052
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
The complexity of liver reconstruction has limited partial right lobe living donor liver transplantation. It is largely due to the difficulty of dealing with the middle hepatic vein. We sought to define the anatomic features of hepatic veins. Forty-one fresh adult livers, 43 formalin-fixed adult cadaver livers, and 91 adult liver corrosion casts were used for the study. We determined the number of branches, the maximum diameter, the whole length, the extrahepatic length of the hepatic veins, and the deviation of the middle hepatic vein from the main portal fissure. Nakamura and Tsuzuki's classification of hepatic vein types was used. Type A, B, and C accounted for 59.4, 27.8, and 12.8% of all specimens in this study, respectively. The middle and left hepatic veins formed a common trunk in 60.3% of the specimens, and the length of the common trunk was 1.12 +/- 0.62 cm. The degree of deviation to the right of the middle hepatic vein from the main portal fissure was 14.11 degrees +/- 12.65 degrees. The frequency of hepatic vein types and the degree of deviation to the right of the middle hepatic vein in this study is markedly different from that reported in other literature. The anatomic features of the hepatic veins in this study suggest that right lobe living donor liver transplantation is more suitable for Chinese. Clin. Anat. 2013. (c) 2012 Wiley Periodicals, Inc.
引用
收藏
页码:476 / 485
页数:10
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