|
キタジマ クミコ
Kitajima Kumiko
北島 久視子 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
|
| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Fusion of the planes of the liver: an anatomic entity merging the midplane and the left intersectional plane. |
| 掲載誌名 | 正式名：Journal of the American College of Surgeons 略 称：J Am Coll Surg ISSNコード：10727515/10727515 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 200(5),pp.711-9 |
| 国際共著 | 国際共著 |
| 著者・共著者 | Savier Eric, Taboury Jacques, Lucidarme Olivier, Kitajima Kumiko, Cadi Mehdi, Vaillant Jean-Christophe, Hannoun Laurent |
| 発行年月 | 2005/05 |
| 概要 | BACKGROUND:Alignment of the gallbladder fossa and the round ligament may be associated with an almost unknown portal vein branching anomaly.STUDY DESIGN:Ultrasonographic imaging allowed detection of this anomaly, which we characterized as fusion of the planes of the liver. When appropriate, additional specific radiologic examinations were performed (CT scanner supplemented with a three-dimensional reconstruction, a biliary cartography, or an angiography). Surgical consequences were studied from this series and from the literature.RESULTS:Seven patients (0.5%) had the following criteria: 1) round ligament, gallbladder fossa, and termination of the portal vein occurring in the same plane; 2) typical portal vein branching, including a right posterior branch, left branches, and a main medial branch terminated by the Rex's recessus; 3) two main hepatic veins without a significant middle hepatic vein; and 4) absence of the horizontal part of the left hepatic duct. Fusion of the planes may have been involved in two cases of iatrogenic bile duct injury and contraindicated a tumor resection and a right-liver donation. A review of the literature revealed that lack of recognition of the fusion of the planes led to a high proportion of surgical iatrogenic injury. Fusion of the planes could result from incomplete development of the central part of the liver, in agreement with embryologic knowledge.CONCLUSIONS:Knowledge of the fusion of the planes by hepato-biliary surgeons is important. This anomaly may lead to serious complications if it remains undetected during liver resection or bile duct surgery. |
| DOI | 10.1016/j.jamcollsurg.2004.12.017 |
| PMID | 15848361 |