Clinical implications of aberrant anatomy of the common hepatic duct in liver surgery: a systematic review and meta‑analysis

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dc.authorid0000-0003-3728-6930
dc.contributor.authorValenzuela‑Fuenzalida, Juan José
dc.contributor.authorAvalos‑Díaz, Constanza
dc.contributor.authorDroguett‑Utreras, Antonia
dc.contributor.authorGuerra‑Loyola, Javier
dc.contributor.authorNova‑Baeza, Pablo
dc.contributor.authorOrellana‑Donoso, Mathias
dc.contributor.authorSuazo‑Santibañez, Alejandra
dc.contributor.authorOyanedel‑Amaro, Gustavo
dc.contributor.authorSanchis‑Gimeno, Juan
dc.contributor.authorBruna‑Mejias, Alejandro
dc.contributor.authorNteli Chatzioglou, Gkionoul
dc.date.accessioned2024-10-03T05:32:43Z
dc.date.available2024-10-03T05:32:43Z
dc.date.issued2024
dc.departmentFakülteler, Tıp Fakültesi, Temel Tıp Bilimleri Bölümü, Anatomi Ana Bilim Dalı
dc.description.abstractIntroduction: Knowledge of anatomical variants that affect the hepatic duct (HD) are of particular clinical relevance during hepatobiliary surgical procedures. More specifically, the aberrant anatomy of the common HD is the most common anatomical variation affecting the biliary tree. Below, we describe different classifications of anatomical variants that affect this canal. According to Huang's classification, variations are determined depending on the insertion of the right posterior hepatic duct (RPHD). Materials and methods: Medline, Scopus, Web of Science, Google Scholar, CINAHL, and LILACS databases were investigated until January 2024. The methodological quality was assessed with an anatomical studies assurance tool (AQUA). Pooled prevalence was estimated using a random effects model. For the subgroup analysis, Student's T-test was used. Results: The prevalence rate of aberrant hepatic duct (AHD) was 15% (confidence interval [CI] of 7-22%). The first subgroup had cadavers and images. For the cadavers, the prevalence was 15.83% (CI: 11.22-18.3%), while the images had a prevalence of 22.06% (CI: 18.12-25.33%). This subgroup analysis showed no statistically significant difference between these groups (p = 0.127). The second subgroup comprised the continents where the included studies were from. In this subgroup, no statistically significant differences were found (p = 0.613). Finally, regarding the right or left laterality of the HD variant, there were no statistically significant differences (p = 0.089). Conclusion: A AHD corresponds to a finding that can occur in a significant percentage of our society, which could be an accidental discovery during surgeries or present asymptomatically throughout life and be a cadaveric discovery later. We believe it is important for surgeons to have prior knowledge of the possible variants of HD to prevent possible complications during and after surgery.
dc.identifier.citationValenzuela‑Fuenzalida, J. J., Avalos‑Díaz, C., Droguett‑Utreras, A., Guerra‑Loyola, J., Nova‑Baeza, P., · Orellana‑Donoso, M., Suazo‑Santibañez, A., Oyanedel‑Amaro, G., Sanchis‑Gimeno, J., Bruna‑Mejias, A., & Nteli Chatzioglou, G. (2024). Clinical implications of aberrant anatomy of the common hepatic duct in liver surgery: a systematic review and meta‑analysis. Surgical and Radiologic Anatomy, 46(12), pp. 2027-2047. https://doi.org/10.1007/s00276-024-03494-8
dc.identifier.doi10.1007/s00276-024-03494-8
dc.identifier.endpage2047
dc.identifier.issn0930-1038
dc.identifier.issn1279-8517
dc.identifier.issue12
dc.identifier.pmidPMID: 39333309
dc.identifier.scopus2-s2.0-85205318422
dc.identifier.scopusqualityQ2
dc.identifier.startpage2027
dc.identifier.urihttps://doi.org/10.1007/s00276-024-03494-8
dc.identifier.urihttps://hdl.handle.net/20.500.13055/813
dc.identifier.volume46
dc.identifier.wosWOS:001324635100004
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorNteli Chatzioglou, Gkionoul
dc.institutionauthorid0000-0003-3728-6930
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofSurgical and Radiologic Anatomy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAberrant Hepatic Duct
dc.subjectClinical Anatomy
dc.subjectHepatic Left Duct
dc.subjectRight Hepatic Duct
dc.subjectVariations Of The Common Hepatic Duct
dc.titleClinical implications of aberrant anatomy of the common hepatic duct in liver surgery: a systematic review and meta‑analysis
dc.typeArticle
dspace.entity.typePublication

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