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Color Doppler ultrasonographic examination on the relationship between the gallbladder bed and major branch of the middle hepatic vein |
Wei-Zhong Zhang, Jie Shen, Jue-Xing Xie and Hong Zhu |
Taizhou, China
Author Affiliations: Departments of Surgery (Zhang WZ, Shen J and Xie JX) and Ultrasonography (Zhu H), Taizhou First People’s Hospital, Taizhou 318020, China
Corresponding Author: Wei-Zhong Zhang, MD, Department of Surgery, Taizhou First People’s Hospital, Taizhou 318020, China (Tel: 86-576-4122571; Fax: 86-576-4016789; Email: zhangweizhong11@hotmail.com) |
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Abstract BACKGROUND: There is a controversy about the risk of injury to the branch of the middle hepatic vein during laparoscopic cholecystectomy. This study was conducted to further investigate the relationship between the gallbladder bed and the branch of the middle hepatic vein.
METHODS: Color Doppler ultrasound was used to examine the anatomical relationship between the gallbladder bed and the branches of the middle hepatic vein in 143 healthy volunteers.
RESULTS: Not all the middle hepatic vein extended close to the gallbladder bed, the branches and gallbladder beds in 23 subjects were not in the same plane during ultrasound scanning. In 21 of the 143 subjects the branch of the middle hepatic vein was completely adherent to the gallbladder bed with a diameter ranging from 1.2 mm to 3.6 mm. In 10 subjects the branches of the middle hepatic vein traversed approximately 1.0 mm from the gallbladder bed with a diameter ranging from 1.6 mm to 3.0 mm.
CONCLUSIONS: In most subjects the branch of the middle hepatic vein and the gallbladder bed are well separated. Only patients with large branches of the middle hepatic vein close to the gallbladder bed are at risk of hemorrhage during laparoscopic cholecystectomy.
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Cite this article: |
Zhang WZ,
Shen J,
Xie JX,
et al.
Color Doppler ultrasonographic examination on the relationship between the gallbladder bed and major branch of the middle hepatic vein.
Hepatobiliary Pancreat Dis Int
2005;
4(2):
299-301. DOI:
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URL: |
http://dx.doi.org/ OR http://www.hbpdint.com/EN/Y2005/V4/I2/299 |
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