Document Detail


Extended lateral segmentectomy using intraoperative ultrasound to obtain a partial liver graft.
MedLine Citation:
PMID:  8619469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The important features of extended lateral segmentectomy to obtain a partial liver graft comprising the left lateral segment and the left half of the medial segment are described with special reference to anatomical variation of the hepatic venous system. Ramification patterns of the hepatic vein tributaries around the juncture of the major hepatic veins with the inferior vena cava are delineated before starting liver resection, using intraoperative ultrasound. The left medial vein draining the left part of the medial segment is recognized close to the confluence of the middle and left hepatic veins. This tributary flows into the left hepatic vein in the majority of cases, but sometimes into the middle hepatic vein. The liver transection line is established in order to obtain the graft, including the drainage area of the left medial vein. Intraoperative ultrasound is indispensable for identifying the left medial vein in extended lateral segmentectomy.
Authors:
S Kawasaki; M Makuuchi; S Miyagawa; H Matsunami; Y Hashikura; T Ikegami; T Kakazu; K Hayashi; T Takayama; H Kawarazaki
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of surgery     Volume:  171     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1996 Feb 
Date Detail:
Created Date:  1996-06-12     Completed Date:  1996-06-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  286-8     Citation Subset:  AIM; IM    
Affiliation:
First Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Female
Hepatectomy / methods*
Humans
Infant
Intraoperative Period
Liver / blood supply,  surgery,  ultrasonography*
Liver Circulation
Liver Transplantation* / ultrasonography
Male
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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