Suppr超能文献

土耳其肝脏供体的血管和胆管变异结果:与其他供体的比较。

The results of vascular and biliary variations in turks liver donors: comparison with others.

作者信息

Ozsoy Mustafa, Zeytunlu Murat, Kilic Murat, Alper Mehmet, Sozbilen Murat

机构信息

Department of General Surgery, Manisa Merkezefendi State Hospital, 45000 Manisa, Turkey.

出版信息

ISRN Surg. 2011;2011:367083. doi: 10.5402/2011/367083. Epub 2011 Aug 28.

Abstract

Objective. To evaluate liver anatomy with a view to access unerring surgery in liver donors. Summary Background Data. Liver transplantation, the unique curative treatment option for end-stage hepatic failure, has become routinely practicable, which was inconceivable in the past. But, the vascular and biliary anatomy of the liver has not been completely disclosed yet. Methods. From 1994 to 2009, we have done a research on 496 liver donors. The data were accumulated and categorized according to the most widely used classification systems. Results. Of 496 liver donors, 393 (79.1%) underwent the right donor hepatectomy, 98 (19.9%) were performed the left lateral segmentectomy, and 5 donors (1%) underwent the left donor hepatectomy surgery. Given the data regarding to 398 liver donors undergone right and left donor hepatectomy, arteries, bile ducts, and portal vein showed classical anatomy in 107 (21.6%) donors. Variations in all three systems were found in 16 donors (3.2%). In the remaining 275 donors (75.2%), anatomical variations were found at either of arterial, biliary, or portal system. Conclusions. Our study could come up to actual estimate in liver anatomy as any of donors have not been removed in our institute due to high hilar dissection technique.

摘要

目的。评估肝脏解剖结构,以期在肝供体中实现无误的手术操作。总结背景资料。肝移植作为终末期肝衰竭唯一的治愈性治疗选择,已成为常规可行的方法,而这在过去是不可想象的。但是,肝脏的血管和胆管解剖结构尚未完全明确。方法。1994年至2009年,我们对496例肝供体进行了研究。数据按照最广泛使用的分类系统进行收集和分类。结果。在496例肝供体中,393例(79.1%)接受了右半肝供体切除术,98例(19.9%)进行了左外叶切除术,5例(1%)接受了左半肝供体切除术。对于398例行右半肝和左半肝供体切除术的肝供体的数据而言,107例(21.6%)供体的动脉、胆管和门静脉显示为经典解剖结构。16例(3.2%)供体在所有三个系统中均存在变异。在其余275例(75.2%)供体中,在动脉、胆管或门静脉系统中的任何一个发现了解剖变异。结论。由于采用了高位肝门解剖技术,我们研究所没有因解剖原因而放弃任何供体,因此我们的研究能够对肝脏解剖结构进行实际评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6391/3197254/7ab74269cda1/SURGERY2011-367083.001.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验