The rare insertion of b4 with trifurcated portal vein in live donor.
The rare insertion of b4 with trifurcated portal vein in live donor.
复制标题
在活体供体中罕见地将 b4 插入三叉门静脉。
DOI：
10.1097/tp.0b013e3181d2feac
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发表时间：
2010
期刊：
影响因子：
6.2
通讯作者：
S. Uemoto
中科院分区：
文献类型：
--
作者：
T. Iida;T. Kaido;A. Mori;Hiromitsu Nagata;K. Hata;M. Koizumi;M. Mizumoto;Y. Ogura;F. Oike;S. Uemoto
正确认识血管和胆道系统的解剖变化对于避免活体肝切除术后并发症的发生具有重要意义。我们报道了右叶移植物中与门静脉三叉相关的胆道变异（1,2）。一般来说，需要多血管和胆道吻合的解剖变异在右叶移植中比在左叶移植中更常见。我们在此报告一例极为罕见的左叶移植供者胆道异常的病例。该活体供体是一名64岁的男性，他与患有乙型肝炎病毒相关性肝硬化的妻子一起住进我院进行供体手术。术前三维或二维计算机断层扫描显示门静脉三岔（图1a），但未见肝静脉或肝动脉异常。我们不例行术前胆道系统评估，如磁共振胆管造影和滴注胆管造影。根据HepaVision2 （MeVis, Bremen, Germany）的肝脏图像和体积分析，供体患者接受左肝尾状叶切除术作为活体供体手术。
Correct understanding of the anatomic variations of the vascular and biliary systems is important to avoid postoperative complications in live-donor hepatectomy. We reported biliary variations associated with trifurcated portal vein in right-lobe grafts (1, 2). In general, anatomic variations requiring multiple vascular and biliary anastomoses are more frequently encountered in right-lobe graft than in left-lobe graft. We report here an extremely rare case of biliary anomaly in a left-lobe graft donor.This live donor, who was a 64-year-old man, was admitted to our hospital for donor surgery with his wife with hepatitis B virus-related liver cirrhosis being the recipient. Preoperative three-or two-dimensional computed tomography demonstrated trifurcation of the portal vein (Fig. 1a), but there were no anomalies of the hepatic vein or artery. We do not routinely perform preoperative evaluation of biliary systems such as magnetic resonance cholangiopancreatography and drip-infusion cholangiography. On the basis of the image and volume analysis of the liver by HepaVision2 (MeVis, Bremen, Germany), the donor patient underwent left hepatectomy with caudate lobe as a live-donor procedure.
右叶活体肝移植中与门静脉三叉相关的胆道解剖变异
DOI：
--
发表时间：
2005
期刊：
Transplantation 79
影响因子：
--
作者：
Kasahara M.;Egawa H;Ogawa K;Uryuhara K;Fujimoto Y;Ogura Y;Ueda M;Takada Y;Tanaka K
通讯作者：
Tanaka K