3D anatomy of the intrahepatic branches of the portal vein according to the computer tomography

Kolsanov A.V.; Miakotnykh M.N.; Mironov A.A.; Yunusov R.R.

doi:https://doi.org/10.17116/operhirurg2020404116

Kolsanov A.V.

Samara State Medical University

ORCID: 0000-0002-4144-7090

Miakotnykh M.N.

Samara State Medical University

Mironov A.A.

Samara State Medical University

Yunusov R.R.

Samara State Medical University

3D anatomy of the intrahepatic branches of the portal vein according to the computer tomography

Authors:

Kolsanov A.V., Miakotnykh M.N., Mironov A.A., Yunusov R.R.

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(4): 16‑21

DOI: 10.17116/operhirurg2020404116

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To cite this article:

Kolsanov AV, Miakotnykh MN, Mironov AA, Yunusov RR. 3D anatomy of the intrahepatic branches of the portal vein according to the computer tomography. Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(4):16‑21. (In Russ.)
https://doi.org/10.17116/operhirurg2020404116

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)

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OBJECTIVE

The aim of the study was to study variants the branching of the portal vein according to computed tomography.

MATERIAL AND METHODS

The material for the study was the results of 100 multi-spiral computed tomography (MSCT) of the abdominal organs from the clinics’ archive of the Samara State Medical University for 2018—2019. Based on MSCT data, the «Luch» and «Autoplan» programs, it was performed the mathematical modeling and the creation of three-dimensional models of the vascular bed of the liver. It was studied the portal vein branching and the parameters of the angles formed by the branches and trunk of the portal vein, considering the gender and age of the patients. To determine the type of portal vein, the classification of T. Nakamura, et al. (2002) applied.

RESULTS

According to the classification of portal vein branching by T. Nakamura, et al. (2002) in 72% of patients the classic type of portal vein division into the right and left trunks was revealed. In 20% of patients the true trifurcation was detected — without the main trunk of the right portal vein. In 5% of patients — extrahepatic discharge of the anterior branch of the right portal vein. Based on gender, it was revealed that in men and women, the most common option for dividing the portal vein was its dichotomous division into the right and left trunks. The angle between the right and left branches of the portal vein on average was 121.75±1.37° and ranged from the minimum value of 88° to the maximum of 174°. Differences in the values of this angle in men and women are not statistically significant.

Keywords:

portal vein

computed tomography

branching of the portal vein

Authors:

Kolsanov A.V.

Samara State Medical University

ORCID: 0000-0002-4144-7090

Miakotnykh M.N.

Samara State Medical University

Mironov A.A.

Samara State Medical University

Yunusov R.R.

Samara State Medical University

Received:

26.04.2020

Accepted:

22.05.2020

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References:

Cheng YF, Huang TL, Lee TY, Chen TY, Chen CL. Variation of the intrahepatic portal vein; angiographic demonstration and application in living-related hepatic transplantation. Transplant Proc. 1996;28:1667-1668.
Koç Z, Oğuzkurt L, Ulusan S. Portal vein variations: clinical implications and frequencies in routine abdominal multidetector CT. Diagn Interv Radiol. 2007;13(2):75-80.
Catalano OA, Singh AH, Uppot RN, Hahn PF, Ferrone CR, Sahani DV. Vascular and biliary variants in the liver: implications for liver surgery. RadioGraphics. 2008;28:359-378. https://doi.org/10.1148/rg.282075099
Rzaev RT, Kamalov JuR, Tatarkina MA. Modern non-invasive imaging methods in determining the anatomical variants of the portal division and the structure of the hepatic veins in related orthotopic liver transplantation. Hirurgiya. 2012;10:70-76. (In Russ.).
Megally HI, Badran YM, Abdelal SM, Koriem EM. Role of MDCT angiography in assessment of vascular variant in potential living liver donor transplantation. Egyptian J Radiol Nucl Med. 2013;44:713-718. https://doi.org/10.1016/j.ejrnm.2013.07.009
Efanov MG, Vinevskij AV, Karmazanovskij GG. Spiral computed tomography: the capabilities of different generations of tomographs in determining the normal vascular anatomy of the liver. Part 1. Anatomy of the afferent vessels of the liver. Annaly khirurgicheskoi gepatologii. 2009;2:44-51. (In Russ.).
Kagan II. Clinical anatomy in modern morphology and medicine. Meditsinskoe obrazovanie i professional’noe razvitie. 2011;2:27-35. (In Russ.).
Nakamura T, Tanaka K, Kiuchi T. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases. Transplantation. 2002;73:1896-1903. https://doi.org/10.1097/00007890-200206270-00008
Fraser-Hill MA, Atri M, Bret PM, Aldis AE, Illescas FF, Herschorn SD. Intrahepatic portal venous system: variations demonstrated with duplex and color Doppler US. Radiology. 1990;177:523-526. https://doi.org/10.1148/radiology.177.2.2217795
Schmidt S, Demartines N, Soler L, Schnyder P, Denys A. Portal vein normal anatomy and variants: implication for liver surgery and portal vein embolization. Semin Intervent Radiol. 2008;25:86-91.
Atrevi N, Kokoua A, Yangni-Angate H. Veine porte: mode de division et ses variantes à propos de 32 dissections. Morphologie. 2005;89:76-81.
Kolsanov AV, Manukyan AA, Zel’ter PM, Chaplygin SS, Zvonareva ZN. Variant anatomy of the portal vein according to computed tomography. Zhurnal anatomii i gistopatologii. 2017;6(4):31-36. (In Russ.).
Sztika D, Zahoi DE, Motoc A, Farca Ureche M, Daescu E. Anatomical variations of the hepatic portal vein associated with incomplete celiac trunk. Rom J Morphol Embryol. 2011;52(2):695-698.
Krumm P., Schraml C., Bretschneider C. Depiction of variants of the portal confluence venous system using multidetector row CT: analysis of 916 cases. RöFo. 2011;183:1123-1129.
Beljaev AN, Kozlov SA, Beljaev SA. Experimental and clinical prerequisites for intraportal infusion in surgical practice. Izvestiya vysshih uchebnyh zavedenii. Povolzhskii region. 2015;1(33):45-53. (In Russ.).
Sureka B, Patidar Y, Bansal K, Rajesh S, Agrawal N, Arora A. Portal vein variations in 1000 patients: surgical and radiological importance. Br J Radiol. 2015;88(1055):20150326.