An anatomical study of short hepatic veins, with special reference to delineation of the caudate lobe for hanging maneuver of the liver without the usual mobilization.
An anatomical study of short hepatic veins, with special reference to delineation of the caudate lobe for hanging maneuver of the liver without the usual mobilization.
复制标题
对短肝静脉的解剖学研究，特别是在没有通常动员的情况下对肝脏进行悬挂操作时尾状叶的描绘。
DOI：
10.1007/s005340200005
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
K. Hirata
中科院分区：
文献类型：
--
作者：
Toshio J. Sato;I. Hirai;G. Murakami;T. Kanamura;F. Hata;K. Hirata
摘要背景/目的本研究旨在解剖学上评估一种最近报道的肝脏悬吊术，方法我们解剖了56个福尔马林固定的肝脏（1），以确定是否保留尾状静脉（最大的静脉引流Spiegel叶）和右肝下静脉（IRHV）是可能的，（2）确定由其他，结果在尾状静脉开口与IRHV之间发现了一个潜在的钳插入空间;然而，如果必须保留两条静脉，我们建议保护IRHV，例如通过绑扎和牵开它。我们将其他短肝静脉分为两类，即，那些引流左门静脉区域和那些引流右区域。静脉在这些领域的开口的分布overlapped.ConclusionsClear划定左尾状叶根据引流静脉似乎是困难的，当肝脏被分为沿着一条直线在IVC的前面。
AbstractBackground/PurposeThe present study was designed to anatomically assess a very recently reported hanging maneuver of the liver without mobilization, in which forceps are inserted blindly between the inferior vena cava (IVC) and liver parenchyma.MethodsWe dissected 56 formalin-fixed livers (1) to determine whether preservation of the caudate vein (the largest vein draining Spiegel's lobe) and inferior right hepatic vein (IRHV) was possible and (2) to identify the territories drained by other, non-preserved short hepatic veins.ResultsA potential space for insertion of the forceps was found between the openings of the caudate vein and IRHV; however, if preservation of both veins is absolutely necessary, we recommended protecting the IRHV, such as by taping and retracting it. We classified the other short hepatic veins into two categories, i.e., those draining the left portal vein territory and those draining the right territory. The distributions of the openings of the veins in these territories overlapped.ConclusionsClear delineation of the left caudate lobe according to the drainage veins appeared to be difficult when the liver was divided along a straight line in front of the IVC.