Application of hepatic vascular anatomy and blood supply in anatomic hepatectomy
Zhang Qifan1, Li Jia2, Wang Kai1, Chen Xuefang1, Zhu Bili2, Zhou Jie1
1Department of Hepatobiliary Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China; 2Huiqiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
Abstract：Objective To summarize the application of hepatic and blood supply in anatomic hepatectomy so as to provide reference for performing hepatectomy.Methods In China Knowledge Network, Wanfang Data and other databases, PubMed, Web of Science, the “肝脏血管”, “肝切除”, “肝移植”, “肝脏血供” and “liver vascular anatomy” “hepatectomy” “liver transplantation”, “the liver blood supply” were used as key words to search for relevant literatures on liver vascular anatomy from January 2000 to December 2018. The results were summarized and analyzed.Results A total of 786 literatures were retrieved, and 26 literatures were included according to inclusion criteria and exclusion criteria, including 9 Chinese literatures and 17 English literatures. Preoperative understanding of the changes in hepatic blood vessels was helpful for both living-related liver transplantation and partial hepatectomy. A good grasp of the anatomy and blood supply of hepatic blood vessels could determine a good hepatectomy plane during the operation, which could reduce the number of blood vessels encountered in the process of liver resection and reduce intraoperative bleeding to a certain extent. The realization of accurate hepatectomy mainly depended on the imaging positioning technology of the hepatic vascular system, the anatomical exposure and selective occlusion technology of the access and exit hepatic vessels, the determination of the hepatectomy plane and the intrahepatic vascular exposure technology.Conclusions Mastering fully the anatomy and blood supply of hepatic vessels, selecting the best surgical method, and complementing with good surgical anatomic techniques are the keys to ensure the success of hepatectomy and improve the accuracy of resection.
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2019, Vol. 24 
