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The blood supply of the hilar bile duct and its relationship to the communicating arcade located between the right and left hepatic arteries
- Source :
- The American Journal of Surgery. 192:276-280
- Publication Year :
- 2006
- Publisher :
- Elsevier BV, 2006.
-
Abstract
- Background There is an increasing demand for living donor liver transplants. However, the biliary complication rates are still high. Methods The anatomy of the communicating arcade (CA) between the right and left livers and its relevance to the blood supply of the hilar bile duct was evaluated using adult cadaveric livers and cast specimens. Results In all specimens that were of sufficient quality for evaluation, th CA was found to be located extrahepatically in the hilar plate with thin tributaries branching to the hilar bile duct. On the left side, 55% of the CA originated from a segment IV artery. On the right side, 73% of the CA originated from the right anterior hepatic artery. Conclusions To maintain an adequate blood supply for the hilar bile duct of the donor graft during living donor liver transplantation, the branching point of the CA should be preserved.
- Subjects :
- Adult
medicine.medical_specialty
Gauche effect
Dissection (medical)
Corrosion Casting
Hepatic Artery
Cadaver
medicine
Humans
Bile duct
business.industry
Dissection
General Medicine
medicine.disease
Surgery
surgical procedures, operative
medicine.anatomical_structure
Liver
Biliary tract
Blood supply
Bile Ducts
Cadaveric spasm
business
Artery
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 192
- Database :
- OpenAIRE
- Journal :
- The American Journal of Surgery
- Accession number :
- edsair.doi.dedup.....7a2031affaeca95320224472461213c8