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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Anatomy of the right liver lobe: A surgical analysis in 124 consecutive living donors
Clinical Transplantation, Volume 25, No. 4, Year 2011
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Description
Background: Understanding anatomic variations of the right lobe is fundamental in adult to adult living donor liver transplantation. Methods: We analysed anatomy in 124 right liver (RL) donors. Results: Portal vein: normal anatomy was found in 85.5% donors. In 14.5% the main right portal vein (PV) was absent. Hepatic artery: single arterial inflow of the RL was identified in 96% of donors. In 4% two arterial stumps were found. Bile duct: classic anatomy was identified in 50.8% of donors; 9.7% had a trifurcation of the common bile duct; in 7.2% the right anterior and in 15.3% the right posterior bile duct opened into the left bile duct; one segmental bile duct opened directly into the common bile duct in 12.1% and two segmental bile ducts in 4.8%. Hepatic veins (HV): in 74.3% the right HV was the single outflow; in 24.2% significant accessory HV (>5mm) were preserved, in 2.4% the middle HV was harvested. We found that patients with PV variations had high incidence of multiple bile ducts (88.9%) while patients with single right PV had lower incidence (42.4%) (p=0.00026). Conclusion: While anatomic variations in the RL donor were common, no contraindication to RL harvesting was noted in this study. © 2011 John Wiley & Sons A/S.
Authors & Co-Authors
Bageacu, Sherban
France, Lyon
Hopital Edouard Herriot
Abdelaal, Amr A.
Egypt, Cairo
Wadi El-neel Hospital
Ficarelli, Sabine
France, Lyon
Hopital Edouard Herriot
ElMeteini, Mahmoud
Egypt, Cairo
Wadi El-neel Hospital
Boillot, Olivier C.
France, Lyon
Hopital Edouard Herriot
Statistics
Citations: 17
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1111/j.1399-0012.2011.01466.x
ISSN:
09020063
e-ISSN:
13990012
Research Areas
Health System And Policy
Study Design
Cohort Study