Right anterior segmental hepatic duct emptying directly into the cystic duct in a living donor

查看全文 作　　者：Yasunao [1]Ishiguro;Masanobu [1]Hyodo;Takehito [1]Fujiwara;Yasunaru [1]Sakuma;Nobuyuki [1]Hojo;Koichi [1]Mizuta;Hideo [1]Kawarasaki;Alan T [1]Lefor;Yoshikazu [1]Yasuda 机构地区：[1]Department of Surgery,School of Medicine,Jichi Medical University 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第29期,共4页 摘　　要：A 35-year-old mother was scheduled to be the living donor for liver transplantation to her second son,who suffered from biliary atresia complicated with biliary cirrhosis at the age of 2 years.The operative plan was to recover the left lateral segment of the mother's liver for living donor transplantation.With the use of cholangiography at the time of surgery,we found the right anterior segmental duct(RASD) emptying directly into the cystic duct,and the catheter passed into the RASD.After repairing the incision in the cystic duct,transplantation was successfully performed.Her postoperative course was uneventful.Biliary anatomical variations were frequently encountered,however,this variation has very rarely been reported.If the RASD was divided,the repair would be very difficult because the duct will not dilate sufficiently in an otherwise healthy donor.Meticulous preoperative evaluation of the living donor's biliary anatomy,especially using magnetic resonance cholangiography and careful intraoperative techniques,is important to prevent bile duct injury and avoid the risk to the healthy donor. 关 键 词：Bile duct injury Cystohepatic duct Intraoperative cholangiography Living liver transplantation Magnetic resonance cholangiography