【Abstract】Objective To study the anatomy of the hepatic arteries and imitate the way to deal with the hepatic arteries in the living liver transplantation of the left lateral lobe.
Methods Thirty normal adult livers were anatomyzed and 30 casting models of livers were observed. The lengths, diameters and distributaries of the hepatic arteries were described.
Results The blood supply of the left lateral region came from proper hepatic artery, left hepatic artery and middle hepatic artery. The aberrant arteries included left inferior phrenic artery, left gastric artery and right gastric artery. They branched to supply the upper segment and the inferior segment.
Conclusion There are five types of hepatic arteries to supply the left liver lobe. The anatomy of hepatic arteries should be studied and a reasonable approach to gain a liver graft should be designed before transplantation. The hepatic arteries should be dealt with so as to anastomose with recipient hepatic arteries.
Citation：
PU Miaoshui,ZHONG Shizhen.. Applied Anatomy of Hepatic Arteries in Living Liver Transplantation of Left Lateral Lobe. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(5): 399-400下转404. doi:
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- 1. Gawad KA, Topp S, Gundiach M, et al. Sharing of split livers between centers is easily feasible [Ｊ]. Transplant Proc, 2000; 32(1)∶59.
- 2. 李忠华主编. 人体铸型标本的设计和制作 [M]. 第1版. 广州： 华南理工大学出版社， 1992∶55～61.
- 3. Soin AS, Friend PJ, Rasmussen A, et al. Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts [Ｊ]. Br J Surg, 1996; 83(5)∶637.
- 4. Koehler RE, Korobkin M, Lewis F. Arteriographic demonstration of collateral arterial supply to the liver after hepatic artery ligation [Ｊ]. Radiology, 1975; 117(1)∶49.
- 5. Inomoto T, Nishizawa F, Sasaki H, et al. Experiences of 120 microsurgical reconstructions of hepatic artery in living related liver transplantation [Ｊ]. Surgery, 1996; 119(1)∶20.
- 6. Ikegami T, Kawasaki S, Matsunami H, et al. Should all hepatic arterial branches be reconstructed in livingrelated liver transplantation? [Ｊ]. Surgery, 1996; 119(4)∶431.
