O Cawich Shamir, T Gardner Michael, Shetty Ramnanand, W Pearce Neil, Naraynsingh Vijay
Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, Jamaica.
Department of Basic Medical Sciences, University of the West Indies, Mona Campus, Kingston 7, Jamaica;
Int J Biomed Sci. 2016 Jun;12(2):58-64.
There have been no previous reports on the anatomic variations that exist on inferior surface of the liver in Caribbean populations. This information is important to optimize radiology and hepatobiliary surgical services in the region.
Two investigators independently observed 69 cadaveric dissections over five years and described the variations in surface anatomy.
In this population 88% of cadaveric livers had conventional hepatic surface anatomy. However, 12% had accessory sulci present on the visceral surface of the liver, with a 7:1 male preponderance. When present, there was 100% correlation between the presence of Rouvière's sulcus and the right branch of portal pedicle.
Abnormal surface anatomy is present in 12% of unselected specimens in this Caribbean population. Interventional radiologists and hepatobiliary surgeons practicing in the Caribbean must be cognizant of these differences in order to minimize morbidity during invasive procedures.
此前尚无关于加勒比人群肝脏下表面存在的解剖变异的报道。这些信息对于优化该地区的放射学和肝胆外科服务很重要。
两名研究人员在五年内独立观察了69例尸体解剖,并描述了表面解剖结构的变异情况。
在该人群中,88%的尸体肝脏具有传统的肝表面解剖结构。然而,12%的肝脏在内脏表面有副沟,男性与女性的比例为7:1。当存在鲁维埃沟时,与门静脉分支右侧存在100%的相关性。
在这个加勒比人群中,12%的未筛选标本存在异常表面解剖结构。在加勒比地区执业的介入放射科医生和肝胆外科医生必须认识到这些差异,以便在侵入性手术期间将发病率降至最低。