The research of the relationship between perihilarportal vein anatomical variations and biliary tract variations bythe computed 3D reconstruction

MENG Xiang-fei, DUAN Wei-dong, WANG Xue-dong, WANG Xian-qiang, DONG Jia-hong

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (2) : 155-159.

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (2) : 155-159. DOI: 10.13418/j.issn.1001-165x.2016.02.008

The research of the relationship between perihilarportal vein anatomical variations and biliary tract variations bythe computed 3D reconstruction

  • MENG Xiang-fei1, DUAN Wei-dong 1, WANG Xue-dong 2, WANG Xian-qiang 1, DONG Jia-hong 2
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Abstract

Objective  To investigate the relationship between perihilar portal vein anatomy and perihilar biliary duct anatomy. Methods The research involved continuous 100 low-part obstructive jaundice cases. Each case accepted MDCT scan. The researcher reconstructed 3-dimensional models of liver, portal vein and biliary ducts for each case using Intrasense Myrian software. The detailed anatomy of portal vein and biliary ducts was observed in these computed 3D models. Result All involved cases were constructed successfully. The liver, portal vein and biliary tract models could be combined and rotated freely. The total variation rate of perihilar portal vein was 21% and of the biliary ducts was 36%. The biliary tract variation rate in portal vein normal anatomy group (n=79) and portal vein variation group was 30.4% and 57.1%, respectively (P<0.05). Conclusion The perihilar portal vein anatomical variations may predict more biliary tract variation. The computed 3-dimensional reconstruction is an effective tool to investigate the anatomy of liver vessels.

Key words

Perihilar anatomy / Portal vein / Biliarytract / Computer-assisted surgery / Three-dimensional reconstruction

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MENG Xiang-fei, DUAN Wei-dong, WANG Xue-dong, WANG Xian-qiang, DONG Jia-hong. The research of the relationship between perihilarportal vein anatomical variations and biliary tract variations bythe computed 3D reconstruction[J]. Chinese Journal of Clinical Anatomy. 2016, 34(2): 155-159 https://doi.org/10.13418/j.issn.1001-165x.2016.02.008

References

[1] Koc Z, Oguzkurt L, Ulusan S. Portal vein variations: clinical implications and frequencies in routine abdominal multidetector CT[J]. Diagn Interv Radiol, 2007, 13(2): 75-80.
[2] Schmidt S, Demartines N, Soler L, et al. Portal vein normal anatomy and variants: implication for liver surgery and portal vein embolization[J]. Semin Intervent Radiol, 2008, 25(2): 86-91.
[3] Blumgart LH. Surgery of the liver, biliary tract, and pancreas.[M] (fourth edition). 2006. Elsevier. P16.
[4]  Kawarada Y, Das BC, Taoka H. Anatomy of the hepatic hilar area: the plate system[J]. J Hepatobiliary Pancreat Surg, 2000, 7(6): 580-586.
[5]  Varotti G, Gondolesi GE, Goldman J, et al. Anatomic variations in right liver living donors[J]. J Am Coll Surg, 2004, 198(4): 577-582.
[6]  Yoshida J, Chijiiwa K, Yamaguchi K, et al. Practical classification of the branching types of the biliary tree: an analysis of 1,094 consecutive direct cholangiograms[J]. J Am Coll Surg, 1996, 182(1): 37-40.
[7]  Song GW, Lee SG, Hwang S, et al. Preoperative evaluation of biliary anatomy of donor in living donor liver transplantation by conventional nonenhanced magnetic resonance cholangiography[J]. Transpl Int, 2007, 20(2): 167-73.
[8]  Ohkubo M, Nagino M, Kamiya J, et al. Surgical anatomy of the bile ducts at the hepatic hilum as applied to living donor liver transplantation[J]. Ann Surg, 2004, 239(1): 82-86.
[9]  Lee SE, Jang JY, Lee JM, et al. Selection of appropriate liver resection in left hepatolithiasis based on anatomic and clinical study[J]. World J Surg, 2008, 32(3): 413-418.
[10]Chen JS, Yeh BM, Wang ZJ, et al. Concordance of second-order portal venous and biliary tract anatomies on MDCT angiography and MDCT cholangiography[J]. AJR Am J Roentgenol, 2005, 184(1): 70-74.
[11]Kasahara M, Egawa H, Tanaka K, et al. Variations in biliary anatomy associated with trifurcated portal vein in right-lobe living-donor liver transplantation[J]. Transplantation, 2005, 79(5): 626-627.
[12]Kitami M, Takase K, Murakami G, et al. Types and frequencies of biliary tract variations associated with a major portal venous anomaly: analysis with multi-detector row CT cholangiography[J]. Radiology, 2006, 238(1): 156-166.
[13]Beermann J, Tetzlaff R, Bruckner T, et al. Three-dimensional visualisation improves understanding of surgical liver anatomy[J]. Med Educ, 2010, 44(9): 936-940.
[14]Radtke A, Sotiropoulos GC, Molmenti EP, et al. Computer-assisted surgery planning for complex liver resections: when is it helpful A single-center experience over an 8-year period[J]. Ann Surg, 2010, 252(5): 876-883.
[15]Muller-Stich BP, Lob N, Wald D, et al. Regular three-dimensional presentations improve in the identification of surgical liver anatomy - a randomized study[J]. BMC Med Educ, 2013, 13: 131.
[16]Balandraud P, Gregoire E, Cazeres C, et al.  Right hepatolithiasis and abnormal hepatic duct confluence: more than a casual relation[J]. Am J Surg, 2011, 201(4): 514-518.
[17]Jarnagin WR. Blumgart's Surgery of the Liver, Biliary Tract and Pancreas[M]. 5th. 2012. Philadelphia. ELSEVIER SAUNDERS.
[18]Couinaud C. Liver anatomy: portal (and suprahepatic) or biliary segmentation[J]. Dig Surg, 1999, 16(6): 459-467.
[19]Radtke A, Sgourakis G, Sotiropoulos GC, et al. Vascular and biliary anatomy of the right hilar window: its impact on recipient morbidity and mortality for right graft live donor liver transplantation[J]. World J Surg, 2009, 33(9): 1941-1951.

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