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Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

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Analysis of the hepatic vessels structure in potential liver donors

https://doi.org/10.16931/1995-5464.2018486-92

Abstract

Aim. To analyze anatomic variants of arterial and venous blood supply of liver in potential liver donors by using of CT-angiography (CTA).

Material and methods. CTA data of 151 potential donors have been examined for the period 01.01.2016-01.01.2018. Non-ionic iodine-containing (320 mg/ml) contrast agent was used at a dose of 1.4 ml/kg and infusion rate near 4.0 ml/s. Variants of arterial anatomy were classified according to N. Michels, portal vein anatomy — according to T Nakamura classification (2002).

Results. N. Michels type I was the most common variant of arterial structure (n = 108, 71.5%). Types II and III were observed in 8.6% and in 7.9% of cases, respectively. Types IV and IX included the same number of donors (2.6%). Types VII and VIII were the rarest (0.7% and 1.3%). Types V, VI, X were absent. There were 7 cases (4.6%) with arterial variants which are not described by N.Michels classification. Moreover, 3 types were not previously described by other authors.

Conclusion. Hepatic artery variations coincide with the classification of N. Michels as a rule (95.4%). Other anatomic variants not described in this classification were observed only in 4.6% of cases.

About the Authors

D. Z. Bayguisova
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Dinara Z. Bayguisova — Head of the Radiology Department.

62, Zheltoksan str., Almaty, 050004, Phone: +7-701-771-93-71



G. A. Battalova
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Galina A. Battalova — Radiologist of the Radiology Department.

62, Zheltoksan str., Almaty, 050004



A. N. Mukhamedzhanova
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Aygerim N. Mukhamedzhanova — Radiologist of the Radiology Department.

62, Zheltoksan str., Almaty, 050004



Yu. A. Naumenko
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Yuliya A. Naumenko — Resident of the Radiology Department.

62, Zheltoksan str., Almaty, 050004



A. K. Olzhabayeva
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Aigul K. Olzhabayeva — Resident of the Radiology Department.

62, Zheltoksan str., Almaty, 050004



B. B. Baymakhanov
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Bolatbek B. Baymakhanov — Doct. of Med. Sci., Professor, Chairman of the SNRCS, Surgeon, Transplantologist.

62, Zheltoksan str., Almaty, 050004



Zh. B. Baymakhanov
Syzganov National Research Center for Surgery of Healthcare Ministry of the Republic of Kazakhstan
Kazakhstan

Zhasulan B. Baymakhanov — Cand. of Med. Sci., Chief Research Fellow of the Department of Hepatopancreatic Surgery and Liver Transplantation.

62, Zheltoksan str., Almaty, 050004



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For citations:


Bayguisova D.Z., Battalova G.A., Mukhamedzhanova A.N., Naumenko Yu.A., Olzhabayeva A.K., Baymakhanov B.B., Baymakhanov Zh.B. Analysis of the hepatic vessels structure in potential liver donors. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2018;23(4):86-92. (In Russ.) https://doi.org/10.16931/1995-5464.2018486-92

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)