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Journal of Anatomy and Histopathology

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Variant anatomy of the portal vein according to computed tomography

https://doi.org/10.18499/2225-7357-2017-6-4-31-36

Abstract

The aim is to study the frequency of portal vein’s structure variants occurrence according to computed tomography, to evaluate the role of anatomical variations in preoperative planning. Material and methods. The material was the results of computed tomography of 100 patients. DICOM format data were downloaded to the “Avtoplan” system, developed at the Center for Breakthrough Studies of the SamGMU “Information Technologies in Medicine”, to build segmentation and 3D-modeling in the planning of operations and the implementation of virtual interventions. Classifications of T. Nakamura (2002) and P. Krumm (2011) were used to determine the type of portal vein fission and the type of confluence. Results. As a result of the study, it was found that the most common type of portal vein division according to T. Nakamura classification is type A (49%), a classical type of vein’s division into right and left trunks. The most common type of confluence is the C (36%), when the inferior mesenteric vein draining into the superior mesenteric vein. The obtained data can be used by radiologists and surgeons in the planning and implementation of surgical interventions on the organs of hepatobiliary system.

About the Authors

A. V. Kolsanov
Samara State Medical University, Samara, Russia
Russian Federation


A. A. Manukyan
Samara State Medical University, Samara, Russia
Russian Federation


P. M. Zel'ter
Samara State Medical University, Samara, Russia
Russian Federation


S. S. Chaplygin
Samara State Medical University, Samara, Russia
Russian Federation


Z. N. Zvonareva
Samara State Medical University, Samara, Russia
Russian Federation


References

1. Гайворонский И. В. Нормальная анатомия человека: учебник для мед. вузов: в 2 т., 8-еизд., перераб. и доп. СПБ.: СпецЛит; 2013. Т.2: 452.

2. Гранов Д. А., Таразов П. Г. Рентгеноэндоваскулярные вмешательства в лечении злокачественных опухолей печени. СПб.: «Фолиант»; 2002: 228.

3. Гранов А. М., Таразов П. Г., Гранов Д. А. и др. Современные тенденции в комбинированном хирургическом лечении первичного и метастатического рака печени. Анналы хирургической гепатологии. 2002; 7(2): 9-17.

4. Колсанов А. В., Манукян А. А., Зельтер П. М. и др. Виртуальное моделирование операции на печени на основе данных компьютерной томографии. Анналы хирургической гепатологии. 2016; 4(21): 16-22.

5. Малышев А. Ф., Пузаев В. И. Применение баллонно-катетерных устройств для селективного введения лекарственных препаратов в ветви воротной вены. Хирургия. 1991; 5: 136-143.

6. Хоронько Ю. В., Дмитриев А. В., Шитиков И. В. и др. Воротная вена как объект операции трансъюгулярного внутрипеченочного портосистемного шунтирования (TIPS/ТИПС) при портальной гипертензии, вызванной циррозом. Фундаментальные исследования. 2013; 11-1: 95-99.

7. Kawaguchi Y., Hasegawa K., Wakabayashi G., et al. Survey results on daily practice in open and laparoscopic liver resections from 27 centers participating in the second International Consensus Conference. J Hepatobiliary Pancreat Sci; 23: 283-288. doi: 10.1002/jhbp.340.

8. Krumm P., Schraml C., Bretschneider C., et al. Depiction of variants of the portal confluence venous system using multidetector row CT: analysis of 916 cases. RöFo. 2011;183: 1123-1129.

9. Megally H. I., Badran Y. M., Abdelal S. M., Koriem E. M. Role of MDCT angiography in assessment of vascular variant in potential living liver donor transplantation. The Egyptian Journal of Radiology and Nuclear Medicine. 2013; 44: 713-718.


Review

For citations:


Kolsanov A.V., Manukyan A.A., Zel'ter P.M., Chaplygin S.S., Zvonareva Z.N. Variant anatomy of the portal vein according to computed tomography. Journal of Anatomy and Histopathology. 2017;6(4):31-36. (In Russ.) https://doi.org/10.18499/2225-7357-2017-6-4-31-36

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ISSN 2225-7357 (Print)