Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
Surg Today. 2011 Sep;41(9):1266-9. doi: 10.1007/s00595-010-4464-0. Epub 2011 Aug 26.
We report how three-dimensional computed tomography (3D-CT) showed the development of obvious venous collaterals between the middle hepatic vein (MHV) tributaries and the right hepatic vein (RHV) in the remnant right lobe of a donor liver. The donor was a healthy 34-year-old man who donated the left lobe of his liver with the MHV. The 3D-CT calculated that the total drainage of the MHV tributaries was 413 ml, corresponding to 59% of the total remnant liver. The congestion calculated by 3D-CT decreased from 286 ml on postoperative day (POD) 7 to 28 ml on POD 35, corresponding to 36% and 3% of the total remnant liver, respectively. The donor was discharged from hospital with almost normal liver function, and 3D-CT analysis on POD 35 detected obvious venous collaterals between the MHV tributaries and the RHV. These findings suggest that reconstruction of the MHV tributaries in the donor remnant right lobe may not be necessary.
我们报告了三维计算机断层扫描（3D-CT）如何显示供体肝脏残余右叶中肝静脉（MHV）属支与右肝静脉（RHV）之间明显静脉侧支的发育。供体是一位健康的 34 岁男性，捐献了带有 MHV 的左肝叶。3D-CT 计算出 MHV 属支的总引流为 413ml，占总残余肝脏的 59%。3D-CT 计算出的淤血从术后第 7 天的 286ml 减少到第 35 天的 28ml，分别对应总残余肝脏的 36%和 3%。供体出院时肝功能几乎正常，术后第 35 天的 3D-CT 分析显示 MHV 属支与 RHV 之间存在明显的静脉侧支。这些发现表明，供体残余右叶中 MHV 属支的重建可能不是必要的。
