{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T17:50:43Z","timestamp":1788285043238,"version":"build-2803163510"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n            <jats:title>Background.<\/jats:title>\n            <jats:p>This study examines the vascular and biliary variations in 3035 liver donors. We propose a novel classification of hepatic arteries, portal veins, and bile ducts and clinically relevant donor classification.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods.<\/jats:title>\n            <jats:p>Preoperative imaging and operative details of 3035 donors from 2005 to 2020 were reviewed. Hilar anatomical variations were identified and grouped on the basis of incidence and clinical relevance.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results.<\/jats:title>\n            <jats:p>Hilar structures are classified according to the numbers supplying or draining the graft: for the hepatic artery, right (R) and left (L), RA1\/LA1 (1 artery), RA2\/LA2 (2 arteries), and RA3\/LA3 (3 arteries), respectively, further defined on the basis of the inflow trunk into C (for common hepatic artery), S (for superior mesenteric artery), and L (for left gastric artery); for the portal vein, RP1 (1 vein) and RP2 (2 veins) for the right lobe; and for the hepatic duct, RB1\/LB1 (1 duct), RB2\/LB2 (2 ducts), RB3 (3 right ducts), and RB4 (4 right ducts). Donors were classified on the basis of anatomical variations into 3 groups: class 1 and class 2 donors, who can donate liver with acceptable risks, and class 3 donors, who are high-risk donors because they are anatomically unacceptable (<jats:bold>Figures S1 to S4, SDC<\/jats:bold>, http:\/\/links.lww.com\/TP\/C918).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions.<\/jats:title>\n            <jats:p>Defining hilar anatomical variations and donor grouping into anatomy-based clinical classes helps in operative planning of donors, hepatobiliary surgeries, and interventional procedures.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/tp.0000000000004807","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T05:00:42Z","timestamp":1699851642000},"page":"455-463","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Hilar Anatomy in 3035 Living Liver Donors: A Novel Classification for Donor Surgery and Suitability, Hepatic Surgeries, and Hepatobiliary Interventions"],"prefix":"10.1097","volume":"108","author":[{"given":"Amit","family":"Rastogi","sequence":"first","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankur A.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarun","family":"Piplani","sequence":"additional","affiliation":[{"name":"Division of Liver and GI Radiology, Institute of Radiology, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal S.","family":"Yadav","sequence":"additional","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fysal","family":"K. V.","sequence":"additional","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Bhangui","sequence":"additional","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvinder S.","family":"Soin","sequence":"additional","affiliation":[{"name":"Division of Liver Transplantation and HPB (Hepato-Pancreato-Biliary) Surgery, Institute of Liver Transplantation, Medanta, Gurugram (Delhi NCR), Haryana, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,13]]},"reference":[{"key":"R1-20250604","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/S0973-6883(11)60149-7","article-title":"12 variations in live-liver donor hilar anatomy and classification of donors based on anatomic suitability.","volume":"1","author":"Rastogi","year":"2011","journal-title":"J Clin Exp Hepatol"},{"key":"R2-20250604","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1002\/bjs.1800830515","article-title":"Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts.","volume":"83","author":"Soin","year":"1996","journal-title":"Br J Surg"},{"key":"R3-20250604","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1007\/s00268-009-0128-x","article-title":"Vascular and biliary anatomy of the right hilar window: its impact on recipient morbidity and mortality for right graft live donor liver transplantation.","volume":"33","author":"Radtke","year":"2009","journal-title":"World J Surg"},{"key":"R4-20250604","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.surg.2009.06.017","article-title":"Evaluation of donor vasculobiliary anatomic variations in liver graft procurements.","volume":"147","author":"Kishi","year":"2010","journal-title":"Surgery"},{"key":"R5-20250604","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1016\/j.transproceed.2008.07.079","article-title":"Surgical techniques according to anatomic variations in living donor liver transplantation using the right lobe.","volume":"40","author":"Lee","year":"2008","journal-title":"Transplant Proc"},{"key":"R6-20250604","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.2214\/ajr.166.5.8615252","article-title":"Angiographic selection criteria for living related liver transplant donors.","volume":"166","author":"Kostelic","year":"1996","journal-title":"AJR Am J Roentgenol"},{"key":"R7-20250604","doi-asserted-by":"crossref","first-page":"2460","DOI":"10.1016\/j.transproceed.2008.07.075","article-title":"Preoperative imaging evaluation of potential living liver donors: reasons for exclusion from donation in adult living donor liver transplantation.","volume":"40","author":"Tsang","year":"2008","journal-title":"Transplant Proc"},{"key":"R8-20250604","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1111\/j.1600-6143.2009.02979.x","article-title":"Intraoperative \u2018no go\u2019 donor hepatectomies in living donor liver transplantation.","volume":"10","author":"Guba","year":"2010","journal-title":"Am J Transplant"},{"key":"R9-20250604","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/0002-9610(66)90201-7","article-title":"Newer anatomy of the liver and its variant blood supply and collateral circulation.","volume":"112","author":"Michels","year":"1966","journal-title":"Am J Surg"},{"key":"R10-20250604","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1002\/lt.20010","article-title":"Hepatic arterial anatomy for right liver procurement from living donors.","volume":"10","author":"Kishi","year":"2004","journal-title":"Liver Transpl"},{"key":"R11-20250604","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1097\/00007890-200206270-00008","article-title":"Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases.","volume":"73","author":"Nakamura","year":"2002","journal-title":"Transplantation"},{"key":"R12-20250604","first-page":"1669","article-title":"Variants of the bile ducts: clinical application in the potential donor of living-related hepatic transplantation.","volume":"28","author":"Huang","year":"1996","journal-title":"Transplant Proc"},{"key":"R13-20250604","first-page":"210","article-title":"Anatomical study of the intrahepatic biliary ducts. 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