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Variations of the hilar biliary confluence from postoperative cholangiography in Chinese population |
Yu Li a , b , c , Wei Zhang b , c , Hao Sun a , Xue-Min Liu a , b , c , Yi Lv a , b , c , ∗ |
a Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
b National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, Xi’an 710061, China
c Shaanxi Province Center for Regenerative Medicine and Surgery Engineering Research, Xi’an 710061, China
∗ Corresponding author.
E-mail address: luyi169@126.com (Y. Lv). |
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Abstract Treatment of the bile ducts at the porta hepatis is a critical step for avoiding post-surgical bile leakage and atrophy of the residual liver and/or the graft during hepatobiliary surgeries, such as hemihepatectomy, surgeries for cholangiocarcinoma or procurement of graft. Precise knowledge of the bile duct anatomy in individual cases has great importance in avoiding these kinds of complications. According to the Couinaud nomenclature, the intrahepatic biliary system can be divided into eight segments: the right anterior hepatic lobe (S5, S8), the right posterior lobe (S6,S7), the left liver (S2-4), and the caudate lobe (S1). The incidence of this normal anatomy was reported in 40%–80% cases [1]. Numerous intrahepatic biliary variations have been reported [2–4]. However, the data for the Chinese population are paucity.
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