지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.6
- 수록면
- 101 - 106 (6page)
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Purpose: Many studies have been conducted to date regarding whether the right hepatic vein is the accurate border that divides the anterior and posterior section of the right liver. It has been reported that the Glisson pedicle of the right liver may be an anatomical variation that does not have a consistent morphology. We analyzed the relationship between the true borders of the anterior and posterior sections, and the right hepatic vein, based on cadaver dissection and MD-CT image analysis of the anatomical variation of the Glisson pedicle of the right liver.
Methods: Sixteen cadaver livers were available for dissection from the Department of Anatomy, and pre-operative MD-CTs of 20 donor livers who underwent living donor liver transplantation prior to December 2009, were obtained. We analyzed the 3D-relationship between the branches of the Glisson pedicles and the right hepatic vein of the right liver. They were divided into 3 groups according to the sliding pattern of the branches of the Glisson pedicle origin. When all segmental branches of the anterior pedicle arise from the main trunk of the anterior pedicle and all branches of posterior pedicle arise from the main trunk of posterior pedicle, it was designated as Group A (Normal Group). When a portion of the segmental branches of the anterior pedicle arises from the main trunk of the posterior pedicle, it was designated as Group B (Posterior dominant group). When a portion of the branches of the posterior pedicle arises from the main trunk of the anterior pedicle, it was designated as Group C (Anterior dominant group).
Results: Among the 16 cadaver liver dissections, 6 cases were in Group A, 5 in Group B, and 3 in Group C. Two cases were excluded from the study because the inferior right hepatic vein was the main draining vein of the right liver. The analysis of preoperative MD-CT of the 20 donor livers showed that there were 13, 4, and 3 patients in Groups A, B, and C, respectively.
Conclusion: According to Couinaud"s theory of anatomy, the right hepatic vein serves as the border between the anterior and posterior sections of the right liver. But, due to the frequent anatomical variations, an adequate understanding of the anatomical variations of the right Glisson pedicle should be necessary for liver surgery.
Methods: Sixteen cadaver livers were available for dissection from the Department of Anatomy, and pre-operative MD-CTs of 20 donor livers who underwent living donor liver transplantation prior to December 2009, were obtained. We analyzed the 3D-relationship between the branches of the Glisson pedicles and the right hepatic vein of the right liver. They were divided into 3 groups according to the sliding pattern of the branches of the Glisson pedicle origin. When all segmental branches of the anterior pedicle arise from the main trunk of the anterior pedicle and all branches of posterior pedicle arise from the main trunk of posterior pedicle, it was designated as Group A (Normal Group). When a portion of the segmental branches of the anterior pedicle arises from the main trunk of the posterior pedicle, it was designated as Group B (Posterior dominant group). When a portion of the branches of the posterior pedicle arises from the main trunk of the anterior pedicle, it was designated as Group C (Anterior dominant group).
Results: Among the 16 cadaver liver dissections, 6 cases were in Group A, 5 in Group B, and 3 in Group C. Two cases were excluded from the study because the inferior right hepatic vein was the main draining vein of the right liver. The analysis of preoperative MD-CT of the 20 donor livers showed that there were 13, 4, and 3 patients in Groups A, B, and C, respectively.
Conclusion: According to Couinaud"s theory of anatomy, the right hepatic vein serves as the border between the anterior and posterior sections of the right liver. But, due to the frequent anatomical variations, an adequate understanding of the anatomical variations of the right Glisson pedicle should be necessary for liver surgery.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (7)
참고문헌 신청
1. [학술지(정기간행물)] - Couinaud C / 1999 / Liver anatomy: portal (and suprahepatic) or biliary segmentation / Dig Surg 16 : 459 ~ 467
2. [단행본] - Okamoto E / 1992 / Anatomical resection of the right hepatic subsegments preceded by suprahilar ligation of the portal pedicles, In Primary liver cancer in Japan / Tokyo: Springer; : 229 ~
3. [단행본] - Launois B / 1993 / Modern operative techniques in liver surgery / Edinburgh: Churchill Livingstone
4. [단행본] - Makuuchi M / 2003 / Knack & pitfalls of liver surgery.(Kr) 1st ed / Seoul: Koon Ja Publishing co; : 102 ~ 103
5. [학술지(정기간행물)] - Belghiti J / 2000 / The Brisbane 2000 terminology of liver anatomy and resections / HPB 2 : 333 ~ 339
2. [단행본] - Okamoto E / 1992 / Anatomical resection of the right hepatic subsegments preceded by suprahilar ligation of the portal pedicles, In Primary liver cancer in Japan / Tokyo: Springer; : 229 ~
3. [단행본] - Launois B / 1993 / Modern operative techniques in liver surgery / Edinburgh: Churchill Livingstone
4. [단행본] - Makuuchi M / 2003 / Knack & pitfalls of liver surgery.(Kr) 1st ed / Seoul: Koon Ja Publishing co; : 102 ~ 103
5. [학술지(정기간행물)] - Belghiti J / 2000 / The Brisbane 2000 terminology of liver anatomy and resections / HPB 2 : 333 ~ 339
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UCI(KEPA) : I410-ECN-0101-2014-514-001274488