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
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U2 - 10.1007/s00534-005-1094-9
DO - 10.1007/s00534-005-1094-9
M3 - Article
C2 - 17013722
AN - SCOPUS:33749248653
SN - 0944-1166
VL - 13
SP - 454
EP - 457
JO - Journal of Hepato-Biliary-Pancreatic Surgery
JF - Journal of Hepato-Biliary-Pancreatic Surgery
IS - 5
ER -