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獭尾肝:肝脏左叶变异的形态学研究

Beaver Tail Liver: A Morphological Study of Variation in the Left Lobe of the Liver.

作者信息

Modi Hetal Hareshkumar, Chauhan Hiteshkumar Muktilal, Prajapati Himanshu Kantibhai, Rathod Jinesh Baldevbhai

机构信息

Department of Anatomy, GMERS Medical College Himmatnagar, Himmatnagar, India.

Department of Anatomy, Government Medical College Bhavnagar, Bhavnagar, India.

出版信息

Chonnam Med J. 2024 Sep;60(3):187-191. doi: 10.4068/cmj.2024.60.3.187. Epub 2024 Sep 25.

Abstract

The liver, the largest gland in a wedge-shape, is situated in the right hypochondrium, and exhibits variation in its lobes. Knowledge of variations in the lobes of the liver is crucial for accurate radiological diagnosis and successful abdominal surgeries. The elongation of the left lobe of the liver has gained significant attention in segmentectomy and liver transplant surgeries. During October and November 2023, cross-sectional observational research was done on 53 human cadaveric liver specimens obtained from different medical colleges in Gujarat, India. The livers were meticulously examined to determine the prevalence of Beaver tail liver and measurements such as length, breadth, and thickness were recorded and statistically analyzed. The study revealed that out of the 53 livers examined, 29 (54.72%) were classified as normal, while 19 (35.85%) fell into Netter's type 2 to 7 based on Netter's classification. Interestingly, 5 (09.43%) livers exhibited an elongated left lobe, referred to as a "sliver liver," which did not fit into any of the Netter's types. The beaver tail liver was found to be longer and broader compared to normal liver of the same size and weight (p<0.001). This study highlights the wide range of variations that can be observed in the lobes of the liver. The findings of this study will serve as a valuable resource for radiologists, anatomists, and surgeons, aiding them in accurate diagnoses and surgical procedures, thus minimizing the risk of misdiagnosis.

摘要

肝脏是最大的楔形腺体,位于右季肋区,其叶存在变异。了解肝脏叶的变异对于准确的放射学诊断和成功的腹部手术至关重要。肝脏左叶的延长在肝段切除术和肝移植手术中受到了极大关注。在2023年10月和11月期间,对从印度古吉拉特邦不同医学院获得的53例人体尸体肝脏标本进行了横断面观察研究。对肝脏进行了细致检查,以确定海狸尾状肝的患病率,并记录了长度、宽度和厚度等测量值并进行统计分析。研究显示,在检查的53例肝脏中,29例(54.72%)被归类为正常,而根据奈特分类法,19例(35.85%)属于奈特2型至7型。有趣的是,5例(09.43%)肝脏表现出左叶延长,被称为“薄片肝”,不属于任何奈特类型。发现海狸尾状肝与相同大小和重量的正常肝脏相比更长更宽(p<0.001)。本研究突出了肝脏叶中可观察到的广泛变异。本研究结果将为放射科医生、解剖学家和外科医生提供宝贵资源,帮助他们进行准确诊断和手术操作,从而将误诊风险降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f31/11458314/1150dedb8b51/cmj-60-187-g001.jpg

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