Document Detail

Hepatectomy of living donors with a left-sided gallbladder and multiple combined anomalies for adult-to-adult living donor liver transplantation.
MedLine Citation:
PMID:  14755792     Owner:  NLM     Status:  MEDLINE    
The left-sided gallbladder is very rare, but it is often accompanied by multiple anomalies of the liver, by which living donor hepatectomy cannot be feasible or becomes difficult. We have experienced 3 donors with a left-sided gallbladder out of 642 living donors. The first case was a male donor showing bifurcating portal anomaly with intrahepatic right portal vein confluence and extremely low bifurcation of the bile ducts. The right lobe was retrieved and implanted to his father. The second case was a male donor revealing trifurcating portal anomaly with separate right posterior portal branch and replacing right posterior hepatic artery. The right posterior segment graft was retrieved and implanted to his uncle. The third case was a male volunteer in whom the anterior portion of the medial segment was fed by an aberrant branch of the right anterior segment glisson. The small left lobe was retrieved and implanted simultaneously with another living donor's left lobe graft in the form of a dual living donor liver transplantation. There was no donor morbidity or recipient complication. Although there is a high possibility of diverse liver anomalies in living donors with a left-sided gallbladder, complete preoperative evaluation and mapping of the multiple anatomical variations may make certain types of living donor hepatectomy feasible.
Shin Hwang; Sung-Gyu Lee; Kwang-Min Park; Young-Joo Lee; Chul-Soo Ahn; Ki-Hoon Kim; Deog-Bok Moon; Tae-Yong Ha; Sung-Hun Cho; Ki-Bong Oh
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society     Volume:  10     ISSN:  1527-6465     ISO Abbreviation:  Liver Transpl.     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-02     Completed Date:  2004-09-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909185     Medline TA:  Liver Transpl     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-6     Citation Subset:  IM    
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
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MeSH Terms
Abnormalities, Multiple / radiography,  surgery*
Bile Ducts / abnormalities
Gallbladder / abnormalities*
Hepatectomy / methods*
Liver / abnormalities*,  radiography
Liver Transplantation / methods*
Living Donors*
Portal System / abnormalities
Tissue and Organ Harvesting / methods*

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

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