title: Color Doppler ultrasonographic examination on the relationship between the gallbladder bed and major branch of the middle hepatic vein.
abstract: BACKGROUND
  There is a controversy about the risk of injury to the branch of the middle hepatic vein during laparoscopic cholecystectomy. This study was conducted to further investigate the relationship between the gallbladder bed and the branch of the middle hepatic vein.
  
  
  METHODS
  Color Doppler ultrasound was used to examine the anatomical relationship between the gallbladder bed and the branches of the middle hepatic vein in 143 healthy volunteers.
  
  
  RESULTS
  Not all the middle hepatic vein extended close to the gallbladder bed, the branches and gallbladder beds in 23 subjects were not in the same plane during ultrasound scanning. In 21 of the 143 subjects the branch of the middle hepatic vein was completely adherent to the gallbladder bed with a diameter ranging from 1.2 mm to 3.6 mm. In 10 subjects the branches of the middle hepatic vein traversed approximately 1.0 mm from the gallbladder bed with a diameter ranging from 1.6 mm to 3.0 mm.
  
  
  CONCLUSIONS
  In most subjects the branch of the middle hepatic vein and the gallbladder bed are well separated. Only patients with large branches of the middle hepatic vein close to the gallbladder bed are at risk of hemorrhage during laparoscopic cholecystectomy.
authors.affiliation: Department of Surgery, Taizhou First People's Hospital, Taizhou 318020, China. zhangweizhong11@hotmail.com
authors.forename: Wei-Zhong
authors.initials: WZ
authors.lastname: Zhang
authors.forename: Jie
authors.initials: J
authors.lastname: Shen
authors.forename: Jue-Xing
authors.initials: JX
authors.lastname: Xie
authors.forename: Hong
authors.initials: H
authors.lastname: Zhu
mesh_terms: D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D015331:Cohort Studies; D005260:Female; D005704:Gallbladder / Q000098:blood supply* / Q000000981:diagnostic imaging*; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D012307:Risk Factors; D012680:Sensitivity and Specificity; D018615:Ultrasonography, Doppler, Color