Hepatic grooves:An observational study at laparoscopic surgery
作者机构：Department of SurgeryUniversity of the West IndiesSt Augustine 000000Trinidad and Tobago Department of SurgeryPort of Spain General HospitalPort of Spain 000000Trinidad and Tobago Section of AnatomyBasic Medical SciencesUniversity of the West IndiesKingston 000000Jamaica Department of RadiologyUniversity of the West IndiesKingston 000000Jamaica Department of SurgeryMorehouse School of MedicineAtlantaGA 30310United States Section of AnatomyDepartment of Basic Medical SciencesUniversity of the West IndiesKingston KIN7Jamaica
出 版 物：《World Journal of Experimental Medicine》 (世界实验医学杂志)
年 卷 期：2024年第14卷第2期
页 面：97-102页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Liver Variant Vein Hepatic Surgery
摘 要：BACKGROUND In traditional descriptions,the upper surface of the liver is smooth and convex,but deep depressions are variants that are present in 5%-40%of *** sought to determine the relationship between surface depressions and the *** To use exploratory laparoscopy to determine the relationship between surface depressions and the *** An observational study was performed in all patients undergoing laparoscopic upper gastro-intestinal operations between January 1,2023 and January 20,2024.A thirty-degree laparoscope was used to inspect the liver and *** surface depressions were present,we recorded patient demographics,presence of diaphragmatic bands,rib protrusions and/or any other source of compression during *** Of 394 patients,343 had normal surface anatomy,and 51(12.9%)had prominent surface depressions on the *** was no significant relationship between the presence of surface depressions and gender nor the presence of rib ***,there was significant association between the presence of surface depressions and diaphragmatic muscular bands(P0.001).CONCLUSION With these data,the diaphragmatic-band theory has gained increased importance over other theories for surface *** studies are warranted using cross sectional imaging to confirm relationships with intersectional planes as well as beta-catenin assays in the affected liver parenchyma.
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