407例活体肝供体门静脉解剖与胆管变异的相关性
Correlation between portal vein anatomy and bile duct variation in 407 living liver donors.
作者信息
Takeishi K, Shirabe K, Yoshida Y, Tsutsui Y, Kurihara T, Kimura K, Itoh S, Harimoto N, Yamashita Y-I, Ikegami T, Yoshizumi T, Nishie A, Maehara Y
机构信息
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
出版信息
Am J Transplant. 2015 Jan;15(1):155-60. doi: 10.1111/ajt.12965. Epub 2014 Dec 17.
Our aim was to determine whether variant bile duct (BD) anatomy is associated with portal vein (PV) and/or hepatic artery (HA) anatomy. We examined the associations between BD anatomy and PV and/or HA anatomy in 407 living donor transplantation donors. We also examined whether the right posterior BD (RPBD) course was associated with the PV and/or HA anatomy. Variant PV, HA and BD anatomies were found in 11%, 25% and 25%, respectively, of 407 donors enrolled in this study. The presence of a variant BD was more frequently associated with a variant PV than with a normal PV (61% vs. 20%, p < 0.0001). By contrast, the presence of a variant HA was not associated with a variant BD. A supraportal RPBD was found in 357 donors (88%) and an infraportal RPBD was found in 50 donors (12%). An infraportal RPBD was significantly more common in donors with a variant PV than in donors with a normal PV (30% vs. 10%, p = 0.0004). Variant PV, but not variant HA, anatomies were frequently associated with variant BD anatomy. Additionally, an infraportal RPBD was more common in donors with a variant PV than in donors with a normal PV.
我们的目的是确定胆管（BD）解剖变异是否与门静脉（PV）和/或肝动脉（HA）解剖相关。我们在407例活体供体移植供者中研究了BD解剖与PV和/或HA解剖之间的关联。我们还研究了右后BD（RPBD）走行是否与PV和/或HA解剖相关。在本研究纳入的407例供者中，分别有11%、25%和25%发现了PV、HA和BD解剖变异。BD变异的存在与PV变异的相关性高于与正常PV的相关性（61%对20%，p<0.0001）。相比之下，HA变异的存在与BD变异无关。357例供者（88%）发现门静脉上RPBD，50例供者（12%）发现门静脉下RPBD。门静脉下RPBD在PV变异的供者中明显比PV正常的供者更常见（30%对10%，p=0.0004）。PV解剖变异而非HA解剖变异常与BD解剖变异相关。此外，门静脉下RPBD在PV变异的供者中比PV正常的供者更常见。
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