Surgical aspects of hepatic segmentation based on hepatic venographies
Surgical aspects of hepatic segmentation based on hepatic venographies
复制标题
基于肝静脉造影的肝脏分割的外科方面
DOI：
10.1007/bf02098701
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发表时间：
2005
影响因子：
1.4
通讯作者：
Y. Morita
中科院分区：
文献类型：
--
作者：
Y. Hata;J. Uchino;Y. Une;Y. Morita
对 42 名肝癌患者选择性地进行了肝静脉造影。从前视图和侧视图评估结果。可鉴定右肝39个，其中第1分支为1个分支，36例（92.3%）。右肝 v. 的第一个分支可分为从第 VII 段延伸的静脉 (V7) 和从第 VIII 段延伸的静脉 (V8)。 26 例 (72.8%) 发现 V7，10 例 (27.8%) 发现 V8。 10 例发现从第 VIII 段延伸的肝背静脉 (V8)。中肝诉31例，左肝诉33例。中静脉主要有两种类型（一种无主分支，另一种有分支），分别为11例（37.9%）和12例（41.4%）。 10 例（32.3%）发现从第 VIII 段延伸的中肝第一分支 v.(V8)。这些结果表明，在进行肝切除术时，有必要对每位患者的肝脏进行解剖学考虑。
Hepatic venographies were performed selectively in 42 patients with hepatocarcinoma. The findings were evaluated from anterior and lateral views. Thirty-nine right hepatic v. could be identified and the existence of one branch as the first ramification was found in 36 cases (92.3%). The first branches of the right hepatic v. could be classified into veins (V7) running from segment VII and those (V8) running from segment VIII. A V7 was identified in 26 cases (72.8%) and a V8 was identified in 10 cases (27.8%). The vena hepatica dorsalis (V8) running from segment VIII was recognised in 10 cases. The middle and left hepatic v. were identified in 31 cases and 33 cases respectively. Two main types of middle vein (one with no principal branching and the other with branching) were found in 11 cases (37.9%) and 12 cases (41.4%) respectively. The first branch of the middle hepatic v.(V8) running from segment VIII was identified in 10 cases (32.3%). These results indicate that anatomical consideration of the hepatic v. in each patient is necessary when performing hepatic resection.