{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T02:23:23Z","timestamp":1768789403272,"version":"3.49.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2009,1,21]],"date-time":"2009-01-21T00:00:00Z","timestamp":1232496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"German Society for Research","award":["117\/1-1:A2\u00b72"],"award-info":[{"award-number":["117\/1-1:A2\u00b72"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,1,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Postoperative venous congestion can lead to graft and remnant liver failure in living donor liver transplantation. This study was designed to delineate \u2018territorial belonging\u2019 of the middle hepatic vein (MHV) and to identify hepatic venous anatomy at high risk of outflow congestion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>MHV belonging patterns for right (RHL) and left (LHL) hemilivers were evaluated by three-dimensional computed tomographic reconstruction and virtual hepatectomy in 138 consecutive living liver donor candidates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The right hepatic vein (RHV) was dominant in 84\u00b71 per cent and an accessory inferior hepatic vein (IHV) was present in 47\u00b71 per cent of livers. Three MHV belonging types were identified for the RHL. Strong and complex MHV types A and C were associated with large RHL venous congestion. The MHV belonged to the LHL in 65\u00b79 per cent, draining 37 per cent of this hemiliver. In virtual liver resections, left MHV type D was a risk category for small left liver remnants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>MHV territorial belonging types A and C were identified as high risk for RHL venous congestion. Their presence should prompt consideration of either inclusion of the MHV with the right graft or reconstruction of its tributaries, and preservation of IHV territory.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6444","type":"journal-article","created":{"date-parts":[[2009,1,21]],"date-time":"2009-01-21T12:01:16Z","timestamp":1232539276000},"page":"206-213","source":"Crossref","is-referenced-by-count":26,"title":["Territorial belonging of the middle hepatic vein in living liver donor candidates evaluated by three-dimensional computed tomographic reconstruction and virtual liver resection"],"prefix":"10.1093","volume":"96","author":[{"given":"A","family":"Radtke","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"},{"name":"Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Sgourakis","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"},{"name":"Department of General Surgery, Red Cross Hospital, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G C","family":"Sotiropoulos","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"},{"name":"Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E P","family":"Molmenti","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F H","family":"Saner","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Timm","sequence":"additional","affiliation":[{"name":"Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Malag\u00f3","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany"},{"name":"Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2009,1,21]]},"reference":[{"key":"2021070906471064400_bib1","first-page":"811","article-title":"Parenchyma transection in adult live donor liver transplantation: the virtual dilemma of \u2018where to cut\u2019. 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