Living-donor hepatectomy in right-sided round-ligament liver

Importance of mapping the anatomy to the left medial segment

Juan P. Rocca, Manuel I. Rodriguez-Davalos, Maureen Burke-Davis, Michael R. Marvin, Patricia A. Sheiner, Marcelo E. Facciuto

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Left-sided gallbladder (LSGB) and right-sided round ligament (RSRL) are very infrequent findings, mostly described in Oriental patients, that have associated anatomical variations. An abnormal portal vein branching, mainly to segment IV, is strongly associated with RSRL. Living-donor liver transplantation requires that both the graft and the remnant liver have adequate vascular supply and volumes. Abnormal vascularization of segment IV then threatens this goal. There have been scarce reports of the feasibility of living-donor hepatectomy under these conditions, all in Oriental populations. We present a case of an Occidental living liver donor with RSRL, and discuss the associated anatomical variations of the portal vascular supply of the liver, with its implications in planning a living-donor hepatectomy.

Original languageEnglish (US)
Pages (from-to)454-457
Number of pages4
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume13
Issue number5
DOIs
StatePublished - Sep 2006
Externally publishedYes

Fingerprint

Round Ligaments
Living Donors
Hepatectomy
Anatomy
Blood Vessels
Liver
Portal Vein
Liver Transplantation
Transplants
Round Ligament of Liver
Population

Keywords

  • Left-sided gallbladder
  • Liver anatomy
  • Living-related liver donation
  • Right-sided round ligament
  • Small-for-size graft

ASJC Scopus subject areas

  • Surgery

Cite this

Living-donor hepatectomy in right-sided round-ligament liver : Importance of mapping the anatomy to the left medial segment. / Rocca, Juan P.; Rodriguez-Davalos, Manuel I.; Burke-Davis, Maureen; Marvin, Michael R.; Sheiner, Patricia A.; Facciuto, Marcelo E.

In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 13, No. 5, 09.2006, p. 454-457.

Research output: Contribution to journalArticle

Rocca, Juan P. ; Rodriguez-Davalos, Manuel I. ; Burke-Davis, Maureen ; Marvin, Michael R. ; Sheiner, Patricia A. ; Facciuto, Marcelo E. / Living-donor hepatectomy in right-sided round-ligament liver : Importance of mapping the anatomy to the left medial segment. In: Journal of Hepato-Biliary-Pancreatic Surgery. 2006 ; Vol. 13, No. 5. pp. 454-457.
@article{601a864110ee415ea6324fc923719dab,
title = "Living-donor hepatectomy in right-sided round-ligament liver: Importance of mapping the anatomy to the left medial segment",
abstract = "Left-sided gallbladder (LSGB) and right-sided round ligament (RSRL) are very infrequent findings, mostly described in Oriental patients, that have associated anatomical variations. An abnormal portal vein branching, mainly to segment IV, is strongly associated with RSRL. Living-donor liver transplantation requires that both the graft and the remnant liver have adequate vascular supply and volumes. Abnormal vascularization of segment IV then threatens this goal. There have been scarce reports of the feasibility of living-donor hepatectomy under these conditions, all in Oriental populations. We present a case of an Occidental living liver donor with RSRL, and discuss the associated anatomical variations of the portal vascular supply of the liver, with its implications in planning a living-donor hepatectomy.",
keywords = "Left-sided gallbladder, Liver anatomy, Living-related liver donation, Right-sided round ligament, Small-for-size graft",
author = "Rocca, {Juan P.} and Rodriguez-Davalos, {Manuel I.} and Maureen Burke-Davis and Marvin, {Michael R.} and Sheiner, {Patricia A.} and Facciuto, {Marcelo E.}",
year = "2006",
month = "9",
doi = "10.1007/s00534-005-1094-9",
language = "English (US)",
volume = "13",
pages = "454--457",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "5",

}

TY - JOUR

T1 - Living-donor hepatectomy in right-sided round-ligament liver

T2 - Importance of mapping the anatomy to the left medial segment

AU - Rocca, Juan P.

AU - Rodriguez-Davalos, Manuel I.

AU - Burke-Davis, Maureen

AU - Marvin, Michael R.

AU - Sheiner, Patricia A.

AU - Facciuto, Marcelo E.

PY - 2006/9

Y1 - 2006/9

N2 - Left-sided gallbladder (LSGB) and right-sided round ligament (RSRL) are very infrequent findings, mostly described in Oriental patients, that have associated anatomical variations. An abnormal portal vein branching, mainly to segment IV, is strongly associated with RSRL. Living-donor liver transplantation requires that both the graft and the remnant liver have adequate vascular supply and volumes. Abnormal vascularization of segment IV then threatens this goal. There have been scarce reports of the feasibility of living-donor hepatectomy under these conditions, all in Oriental populations. We present a case of an Occidental living liver donor with RSRL, and discuss the associated anatomical variations of the portal vascular supply of the liver, with its implications in planning a living-donor hepatectomy.

AB - Left-sided gallbladder (LSGB) and right-sided round ligament (RSRL) are very infrequent findings, mostly described in Oriental patients, that have associated anatomical variations. An abnormal portal vein branching, mainly to segment IV, is strongly associated with RSRL. Living-donor liver transplantation requires that both the graft and the remnant liver have adequate vascular supply and volumes. Abnormal vascularization of segment IV then threatens this goal. There have been scarce reports of the feasibility of living-donor hepatectomy under these conditions, all in Oriental populations. We present a case of an Occidental living liver donor with RSRL, and discuss the associated anatomical variations of the portal vascular supply of the liver, with its implications in planning a living-donor hepatectomy.

KW - Left-sided gallbladder

KW - Liver anatomy

KW - Living-related liver donation

KW - Right-sided round ligament

KW - Small-for-size graft

UR - http://www.scopus.com/inward/record.url?scp=33749248653&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749248653&partnerID=8YFLogxK

U2 - 10.1007/s00534-005-1094-9

DO - 10.1007/s00534-005-1094-9

M3 - Article

VL - 13

SP - 454

EP - 457

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

SN - 1868-6974

IS - 5

ER -