6533b7d5fe1ef96bd12650dd

RESEARCH PRODUCT

Intrahepatic biliary anatomy derived from right graft adult live donor liver transplantation

Ernesto P. MolmentiTobias SchroederHauke LangAndrea SchenkArnold RadtkeGeorge SgourakisGeorgios C. SotiropoulosFuat H. SanerV.r. CincinnatiIoannis FouzasSilvio NadalinM. Malagó

subject

AdultMalemedicine.medical_specialtyLive donormedicine.medical_treatmentCholecystographyHepatic Duct CommonLiver transplantationliverImage Processing Computer-AssistedLiving DonorsmedicineHumansRetrospective StudiesTransplantationmedicine.diagnostic_testBile ductbusiness.industryGallbladderGallbladderRetrospective cohort studyMiddle AgedCholecystographyLiver TransplantationSurgeryBiliary anatomymedicine.anatomical_structureBiliary tractFemaleSurgeryTomography X-Ray Computedbusiness

description

Abstract Objective The successful management of the bile duct in right graft adult live donor liver transplantation requires knowledge of both its central (hilar) and distal (sectorial) anatomy. The purpose of this study was to provide a systematic classification of its branching patterns to enhance clinical decision-making. Patients and Methods We analyzed three-dimensional computed tomography (3-D CT) imaging reconstructions of 139 potential live liver donors evaluated at our institution between January 2003 and June 2007. Results Fifty-four (n = 54 or 38.8%) donor candidates had a normal (classic) hilar and sectorial right bile duct anatomy (type I). Seventy-eight (n = 78 or 56.1%) cases had either hilar or sectorial branching abnormalities (types II or III). Seven (n = 7 or 5.1%) livers had a mixed type (IV) of a rare and complex central and distal anatomy. Conclusions We believe that the classification proposed herein can aid in the better organization and categorization of the variants encountered within the right-sided intrahepatic biliary system.

yearjournalcountryeditionlanguage
2008-11-01
https://publica.fraunhofer.de/handle/publica/217719